Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $377.39 / $6,461.00	Facility		$112.72	$377.39	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $155.99 / $404.45	Professional		$112.72	$155.99	$404.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $357.54 / $780.81	Professional		$173.99	$357.54	$780.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.10 / $563.37 / $864.23	Facility		$482.10	$563.37	$864.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $313.62 / $505.48	Professional		$163.22	$313.62	$505.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.76 / $218.05 / $503.19	Facility		$134.76	$218.05	$503.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.04 / $317.77 / $1,513.00	Facility		$147.04	$317.77	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $364.55 / $1,023.00	Professional		$187.23	$364.55	$1,023.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $159.30 / $370.26	Professional		$97.44	$159.30	$370.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $134.76 / $218.05 / $503.19	Facility		$134.76	$218.05	$503.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $428.84 / $601.48	Professional		$299.01	$428.84	$601.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $258.54 / $345.53 / $620.66	Facility		$258.54	$345.53	$620.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $671.85 / $1,366.64	Professional		$214.70	$671.85	$1,366.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $567.76 / $783.84	Professional		$306.98	$567.76	$783.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $173.38 / $289.52 / $736.00	Professional		$173.38	$289.52	$736.00