Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.35 / $947.00 / $3,925.90	Facility		$156.35	$947.00	$3,925.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $411.75 / $2,488.00	Professional		$64.69	$411.75	$2,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $498.64 / $1,819.23	Professional		$145.37	$498.64	$1,819.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.67 / $1,196.24 / $1,929.50	Facility		$1,023.67	$1,196.24	$1,929.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $375.78 / $1,327.16	Professional		$143.16	$375.78	$1,327.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $160.62 / $698.10	Facility		$69.48	$160.62	$698.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $698.10 / $1,789.00	Facility		$76.44	$698.10	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.73 / $1,353.11 / $2,123.75	Professional		$537.73	$1,353.11	$2,123.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $363.08 / $938.09	Professional		$85.00	$363.08	$938.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $160.62 / $698.10	Facility		$69.48	$160.62	$698.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $390.99 / $1,285.16	Professional		$175.56	$390.99	$1,285.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $665.10 / $665.10 / $665.10	Facility		$665.10	$665.10	$665.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $1,010.14 / $2,770.88	Professional		$146.01	$1,010.14	$2,770.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $851.45 / $1,623.55	Professional		$273.14	$851.45	$1,623.55
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 $477.71 / $1,073.90 / $1,957.10	Professional		$477.71	$1,073.90	$1,957.10