Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.61 / $474.57 / $3,119.00	Facility		$194.61	$474.57	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $303.77 / $1,234.08	Professional		$194.61	$303.77	$1,234.08
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 $308.20 / $682.63 / $1,392.57	Professional		$308.20	$682.63	$1,392.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $951.58 / $1,112.00 / $1,705.84	Facility		$951.58	$1,112.00	$1,705.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.57 / $560.50 / $919.50	Professional		$256.57	$560.50	$919.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $227.69 / $420.67 / $953.19	Facility		$227.69	$420.67	$953.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.97 / $618.00 / $1,590.00	Facility		$244.97	$618.00	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $674.72 / $1,717.12	Professional		$323.58	$674.72	$1,717.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $243.32 / $666.67	Professional		$26.80	$243.32	$666.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $227.69 / $420.67 / $953.19	Facility		$227.69	$420.67	$953.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $762.30 / $1,143.46	Professional		$514.42	$762.30	$1,143.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $445.04 / $594.79 / $1,621.56	Facility		$445.04	$594.79	$1,621.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.72 / $1,130.65 / $2,637.84	Professional		$378.72	$1,130.65	$2,637.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $432.24 / $985.21 / $1,529.04	Professional		$432.24	$985.21	$1,529.04
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 $318.80 / $537.80 / $1,430.21	Professional		$318.80	$537.80	$1,430.21