Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.29 / $748.76 / $1,894.00	Facility		$180.29	$748.76	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.29 / $311.76 / $746.46	Professional		$180.29	$311.76	$746.46
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 $305.52 / $637.57 / $1,388.40	Professional		$305.52	$637.57	$1,388.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.91 / $1,140.43 / $1,749.45	Facility		$975.91	$1,140.43	$1,749.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.27 / $551.25 / $1,007.59	Professional		$237.27	$551.25	$1,007.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.37 / $407.22 / $976.41	Facility		$211.37	$407.22	$976.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.62 / $584.49 / $1,513.00	Facility		$228.62	$584.49	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.56 / $665.28 / $1,600.48	Professional		$321.56	$665.28	$1,600.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $243.32 / $664.51	Professional		$26.80	$243.32	$664.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.37 / $407.22 / $976.41	Facility		$211.37	$407.22	$976.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.19 / $729.61 / $1,171.58	Professional		$472.19	$729.61	$1,171.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.54 / $556.70 / $1,510.50	Facility		$416.54	$556.70	$1,510.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $370.80 / $1,044.50 / $2,702.96	Professional		$370.80	$1,044.50	$2,702.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.65 / $916.67 / $1,567.83	Professional		$402.65	$916.67	$1,567.83
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $315.13 / $555.30 / $1,447.89	Professional		$315.13	$555.30	$1,447.89