Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.37 / $568.87 / $3,119.00	Facility		$230.37	$568.87	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $362.45 / $862.75	Professional		$230.37	$362.45	$862.75
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 $366.25 / $814.50 / $1,650.79	Professional		$366.25	$814.50	$1,650.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.10 / $1,329.98 / $2,040.22	Facility		$1,138.10	$1,329.98	$2,040.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.70 / $695.96 / $1,174.51	Professional		$308.70	$695.96	$1,174.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $274.77 / $505.66 / $1,179.18	Facility		$274.77	$505.66	$1,179.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $303.39 / $750.00 / $1,590.00	Facility		$303.39	$750.00	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.93 / $806.46 / $2,065.12	Professional		$403.93	$806.46	$2,065.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $329.57 / $854.40	Professional		$29.98	$329.57	$854.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $274.77 / $505.66 / $1,179.18	Facility		$274.77	$505.66	$1,179.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.59 / $941.04 / $1,413.91	Professional		$630.59	$941.04	$1,413.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $533.47 / $712.98 / $1,967.46	Facility		$533.47	$712.98	$1,967.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $450.69 / $1,339.55 / $3,189.60	Professional		$450.69	$1,339.55	$3,189.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $503.70 / $1,172.46 / $1,836.67	Professional		$503.70	$1,172.46	$1,836.67
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 $393.06 / $651.60 / $1,563.36	Professional		$393.06	$651.60	$1,563.36