Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.01 / $752.81 / $1,894.00	Facility		$302.01	$752.81	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.01 / $382.96 / $774.92	Professional		$302.01	$382.96	$774.92
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 $428.58 / $885.26 / $1,893.07	Professional		$428.58	$885.26	$1,893.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.29 / $1,402.64 / $2,151.67	Facility		$1,200.29	$1,402.64	$2,151.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.47 / $728.00 / $1,171.53	Professional		$394.47	$728.00	$1,171.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.05 / $564.20 / $1,229.58	Facility		$355.05	$564.20	$1,229.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.95 / $867.25 / $1,590.00	Facility		$376.95	$867.25	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.05 / $871.08 / $2,692.00	Professional		$418.05	$871.08	$2,692.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $251.82 / $789.86	Professional		$31.53	$251.82	$789.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.05 / $564.20 / $1,229.58	Facility		$355.05	$564.20	$1,229.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $787.68 / $1,070.40 / $1,492.70	Professional		$787.68	$1,070.40	$1,492.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $705.96 / $943.52 / $1,693.96	Facility		$705.96	$943.52	$1,693.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $423.56 / $1,717.75 / $3,657.75	Professional		$423.56	$1,717.75	$3,657.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $750.43 / $1,538.48 / $1,937.33	Professional		$750.43	$1,538.48	$1,937.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,455.00 / $2,202.90	Facility		$1,008.00	$1,455.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $417.96 / $896.96 / $1,764.86	Professional		$417.96	$896.96	$1,764.86