Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.74 / $575.87 / $1,894.00	Facility		$232.74	$575.87	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.74 / $298.04 / $1,280.79	Professional		$232.74	$298.04	$1,280.79
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 $331.81 / $682.54 / $1,470.36	Professional		$331.81	$682.54	$1,470.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.55 / $1,080.41 / $1,657.37	Facility		$924.55	$1,080.41	$1,657.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.06 / $511.88 / $946.35	Professional		$304.06	$511.88	$946.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $272.31 / $433.76 / $958.20	Facility		$272.31	$433.76	$958.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $618.00 / $1,513.00	Facility		$290.63	$618.00	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.56 / $657.44 / $2,066.96	Professional		$328.56	$657.44	$2,066.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $189.71 / $585.30	Professional		$31.53	$189.71	$585.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $272.31 / $433.76 / $958.20	Facility		$272.31	$433.76	$958.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $604.08 / $823.51 / $1,148.40	Professional		$604.08	$823.51	$1,148.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $540.03 / $721.75 / $1,301.44	Facility		$540.03	$721.75	$1,301.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.04 / $1,331.25 / $2,580.08	Professional		$325.04	$1,331.25	$2,580.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $1,183.89 / $1,491.51	Professional		$601.41	$1,183.89	$1,491.51
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 $316.27 / $532.92 / $1,256.43	Professional		$316.27	$532.92	$1,256.43