Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.90 / $412.31 / $3,119.00	Facility		$167.90	$412.31	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $291.39 / $697.88	Professional		$167.90	$291.39	$697.88
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 $292.42 / $601.87 / $1,314.76	Professional		$292.42	$601.87	$1,314.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.83 / $1,066.72 / $1,636.37	Facility		$912.83	$1,066.72	$1,636.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.36 / $511.62 / $882.24	Professional		$226.36	$511.62	$882.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $196.66 / $397.40 / $914.28	Facility		$196.66	$397.40	$914.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.55 / $543.21 / $1,565.18	Facility		$212.55	$543.21	$1,565.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.47 / $644.88 / $1,486.32	Professional		$310.47	$644.88	$1,486.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $237.55 / $643.53	Professional		$29.50	$237.55	$643.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $196.66 / $397.40 / $914.28	Facility		$196.66	$397.40	$914.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $441.27 / $679.02 / $1,098.03	Professional		$441.27	$679.02	$1,098.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.66 / $516.77 / $934.96	Facility		$386.66	$516.77	$934.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $358.05 / $982.95 / $2,529.84	Professional		$358.05	$982.95	$2,529.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $376.55 / $850.77 / $1,467.08	Professional		$376.55	$850.77	$1,467.08
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 $310.47 / $661.00 / $1,388.93	Professional		$310.47	$661.00	$1,388.93