Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $614.23 / $7,508.34	Facility		$156.80	$614.23	$7,508.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $254.50 / $508.65	Professional		$156.80	$254.50	$508.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $546.24 / $1,140.79	Professional		$249.21	$546.24	$1,140.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.10 / $936.14 / $1,436.07	Facility		$801.10	$936.14	$1,436.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $477.73 / $824.71	Professional		$207.52	$477.73	$824.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.46 / $344.14 / $809.88	Facility		$183.46	$344.14	$809.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.86 / $510.30 / $1,565.18	Facility		$186.86	$510.30	$1,565.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $539.96 / $1,396.24	Professional		$274.00	$539.96	$1,396.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $189.02 / $588.93	Professional		$26.80	$189.02	$588.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $183.46 / $344.14 / $809.88	Facility		$183.46	$344.14	$809.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.37 / $643.04 / $971.46	Professional		$416.37	$643.04	$971.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $363.07 / $485.24 / $882.20	Facility		$363.07	$485.24	$882.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.91 / $905.80 / $2,223.67	Professional		$306.91	$905.80	$2,223.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $342.48 / $798.38 / $1,287.14	Professional		$342.48	$798.38	$1,287.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $266.17 / $442.80 / $1,075.71	Professional		$266.17	$442.80	$1,075.71