Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $353.66 / $1,894.00	Facility		$143.28	$353.66	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $207.46 / $410.05	Professional		$143.28	$207.46	$410.05
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 $223.20 / $466.21 / $988.24	Professional		$223.20	$466.21	$988.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.41 / $762.39 / $1,169.53	Facility		$652.41	$762.39	$1,169.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $345.22 / $672.26	Professional		$183.17	$345.22	$672.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.54 / $292.07 / $673.65	Facility		$168.54	$292.07	$673.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.02 / $449.34 / $1,513.00	Facility		$176.02	$449.34	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $470.32 / $1,274.32	Professional		$231.23	$470.32	$1,274.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $215.03 / $463.81	Professional		$116.44	$215.03	$463.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.54 / $292.07 / $673.65	Facility		$168.54	$292.07	$673.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $556.04 / $791.88	Professional		$371.87	$556.04	$791.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.65 / $443.25 / $1,198.44	Facility		$331.65	$443.25	$1,198.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.61 / $845.30 / $1,821.84	Professional		$218.61	$845.30	$1,821.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $390.33 / $729.65 / $1,053.06	Professional		$390.33	$729.65	$1,053.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $224.67 / $381.24 / $898.81	Professional		$224.67	$381.24	$898.81