Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.58 / $753.28 / $6,680.14	Facility		$171.58	$753.28	$6,680.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $306.29 / $1,083.00	Professional		$173.16	$306.29	$1,083.00
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 $276.57 / $601.48 / $1,271.33	Professional		$276.57	$601.48	$1,271.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.52 / $1,048.82 / $1,608.91	Facility		$897.52	$1,048.82	$1,608.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.93 / $525.16 / $922.74	Professional		$225.93	$525.16	$922.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.16 / $387.42 / $899.76	Facility		$201.16	$387.42	$899.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.14 / $563.54 / $1,642.00	Facility		$205.14	$563.54	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.35 / $600.16 / $1,525.12	Professional		$298.35	$600.16	$1,525.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $238.37 / $644.44	Professional		$29.98	$238.37	$644.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.16 / $387.42 / $899.76	Facility		$201.16	$387.42	$899.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $452.58 / $695.88 / $1,080.72	Professional		$452.58	$695.88	$1,080.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $529.74 / $1,441.20	Facility		$396.36	$529.74	$1,441.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.59 / $993.00 / $2,487.60	Professional		$336.59	$993.00	$2,487.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $377.72 / $873.30 / $1,441.81	Professional		$377.72	$873.30	$1,441.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $488.45 / $1,196.44	Professional		$287.43	$488.45	$1,196.44