Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.31 / $581.10 / $3,119.00	Facility		$178.31	$581.10	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.31 / $325.00 / $654.59	Professional		$178.31	$325.00	$654.59
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 $310.54 / $637.91 / $1,448.80	Professional		$310.54	$637.91	$1,448.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,027.28 / $1,200.45 / $1,841.53	Facility		$1,027.28	$1,200.45	$1,841.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $546.74 / $990.63	Professional		$235.30	$546.74	$990.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $418.99 / $1,028.58	Facility		$210.52	$418.99	$1,028.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.48 / $584.46 / $1,590.00	Facility		$215.48	$584.46	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.02 / $691.20 / $1,590.16	Professional		$329.02	$691.20	$1,590.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $280.84 / $713.85	Professional		$29.98	$280.84	$713.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $418.99 / $1,028.58	Facility		$210.52	$418.99	$1,028.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.68 / $737.00 / $1,238.66	Professional		$470.68	$737.00	$1,238.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $412.76 / $551.65 / $1,503.12	Facility		$412.76	$551.65	$1,503.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.77 / $1,032.20 / $2,839.92	Professional		$385.77	$1,032.20	$2,839.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $391.89 / $909.17 / $1,647.34	Professional		$391.89	$909.17	$1,647.34
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 $274.98 / $486.59 / $1,335.45	Professional		$274.98	$486.59	$1,335.45