Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.75 / $444.74 / $3,119.00	Facility		$182.75	$444.74	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $288.48 / $554.20	Professional		$182.75	$288.48	$554.20
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 $288.36 / $637.22 / $1,322.47	Professional		$288.36	$637.22	$1,322.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.50 / $1,038.29 / $1,592.76	Facility		$888.50	$1,038.29	$1,592.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $483.71 / $934.79	Professional		$245.10	$483.71	$934.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $395.32 / $920.79	Facility		$217.46	$395.32	$920.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.19 / $593.28 / $5,169.00	Facility		$237.19	$593.28	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.05 / $584.95 / $1,622.24	Professional		$321.05	$584.95	$1,622.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $328.86 / $758.14	Professional		$196.66	$328.86	$758.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $395.32 / $920.79	Facility		$217.46	$395.32	$920.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $498.12 / $734.40 / $1,103.44	Professional		$498.12	$734.40	$1,103.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $417.06 / $557.40 / $1,536.60	Facility		$417.06	$557.40	$1,536.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.56 / $905.81 / $2,508.56	Professional		$274.56	$905.81	$2,508.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $490.51 / $916.39 / $1,439.91	Professional		$490.51	$916.39	$1,439.91
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 $300.32 / $526.77 / $1,249.24	Professional		$300.32	$526.77	$1,249.24