Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.20 / $609.84 / $3,119.00	Facility		$247.20	$609.84	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $429.14 / $1,018.48	Professional		$247.20	$429.14	$1,018.48
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 $413.64 / $883.43 / $1,904.76	Professional		$413.64	$883.43	$1,904.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,334.56 / $1,559.54 / $2,392.37	Facility		$1,334.56	$1,559.54	$2,392.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $760.69 / $1,466.99	Professional		$329.85	$760.69	$1,466.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $296.18 / $545.16 / $1,356.48	Facility		$296.18	$545.16	$1,356.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.91 / $764.96 / $1,590.00	Facility		$322.91	$764.96	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.75 / $898.02 / $2,221.28	Professional		$432.75	$898.02	$2,221.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $409.69 / $1,035.99	Professional		$29.98	$409.69	$1,035.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $296.18 / $545.16 / $1,356.48	Facility		$296.18	$545.16	$1,356.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $661.52 / $1,021.90 / $1,623.78	Professional		$661.52	$1,021.90	$1,623.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $571.89 / $764.33 / $2,109.23	Facility		$571.89	$764.33	$2,109.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.72 / $1,435.00 / $3,714.08	Professional		$503.72	$1,435.00	$3,714.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $563.70 / $1,264.97 / $2,146.69	Professional		$563.70	$1,264.97	$2,146.69
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 $437.07 / $752.95 / $1,781.62	Professional		$437.07	$752.95	$1,781.62