Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $1,413.75 / $2,841.60	Facility		$200.50	$1,413.75	$2,841.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $207.57 / $892.79	Professional		$82.94	$207.57	$892.79
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 $186.38 / $406.09 / $1,052.76	Professional		$186.38	$406.09	$1,052.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.71 / $759.23 / $1,224.61	Facility		$649.71	$759.23	$1,224.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.57 / $381.15 / $841.16	Professional		$183.57	$381.15	$841.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $204.65 / $367.93	Facility		$89.11	$204.65	$367.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $367.93 / $5,801.00	Facility		$98.02	$367.93	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.14 / $737.51 / $1,046.45	Professional		$263.14	$737.51	$1,046.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $307.05 / $588.73	Professional		$85.00	$307.05	$588.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $204.65 / $367.93	Facility		$89.11	$204.65	$367.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.36 / $405.75 / $806.05	Professional		$221.36	$405.75	$806.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $453.56 / $453.56 / $453.56	Facility		$453.56	$453.56	$453.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $552.45 / $1,790.88	Professional		$187.82	$552.45	$1,790.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $415.09 / $1,041.58	Professional		$346.55	$415.09	$1,041.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $675.75 / $1,003.47	Professional		$251.54	$675.75	$1,003.47