Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $348.64 / $1,894.00	Facility		$141.19	$348.64	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $209.11 / $440.19	Professional		$141.19	$209.11	$440.19
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 $220.03 / $469.90 / $981.25	Professional		$220.03	$469.90	$981.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.92 / $767.66 / $1,177.60	Facility		$656.92	$767.66	$1,177.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $343.84 / $677.60	Professional		$174.43	$343.84	$677.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.14 / $289.77 / $668.04	Facility		$166.14	$289.77	$668.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.89 / $425.18 / $1,513.00	Facility		$167.89	$425.18	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.92 / $472.62 / $1,251.04	Professional		$229.92	$472.62	$1,251.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $219.30 / $492.26	Professional		$123.44	$219.30	$492.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.14 / $289.77 / $668.04	Facility		$166.14	$289.77	$668.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $366.59 / $550.39 / $797.29	Professional		$366.59	$550.39	$797.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $326.94 / $436.96 / $1,175.76	Facility		$326.94	$436.96	$1,175.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.74 / $830.55 / $1,832.96	Professional		$214.74	$830.55	$1,832.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $383.66 / $716.69 / $1,060.41	Professional		$383.66	$716.69	$1,060.41
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 $225.30 / $367.10 / $986.41	Professional		$225.30	$367.10	$986.41