Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $695.03 / $5,249.46	Facility		$179.27	$695.03	$5,249.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.27 / $289.58 / $1,003.16	Professional		$179.27	$289.58	$1,003.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.16 / $646.99 / $1,341.95	Professional		$301.16	$646.99	$1,341.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.22 / $1,051.98 / $1,613.76	Facility		$900.22	$1,051.98	$1,613.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.91 / $480.35 / $938.37	Professional		$231.91	$480.35	$938.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $401.57 / $934.14	Facility		$214.29	$401.57	$934.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.46 / $588.66 / $5,169.00	Facility		$235.46	$588.66	$5,169.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $99.91 / $99.91 / $99.91	Facility	AS	$99.91	$99.91	$99.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.77 / $626.66 / $1,602.32	Professional		$324.77	$626.66	$1,602.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.08 / $359.27 / $827.63	Professional		$215.08	$359.27	$827.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $401.57 / $934.14	Facility		$214.29	$401.57	$934.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.52 / $741.97 / $1,107.76	Professional		$486.52	$741.97	$1,107.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $414.02 / $553.34 / $1,013.04	Facility		$414.02	$553.34	$1,013.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $41.40 / $55.33 / $99.91	Facility	AS	$41.40	$55.33	$99.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $272.11 / $938.37 / $2,527.92	Professional		$272.11	$938.37	$2,527.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $469.75 / $908.20 / $1,454.90	Professional		$469.75	$908.20	$1,454.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.79 / $538.29 / $1,277.18	Professional		$315.79	$538.29	$1,277.18