Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $358.61 / $4,863.20	Facility		$83.13	$358.61	$4,863.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $220.02 / $396.39	Professional		$83.13	$220.02	$396.39
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 $186.81 / $424.98 / $1,156.76	Professional		$186.81	$424.98	$1,156.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.66 / $812.94 / $1,311.24	Facility		$695.66	$812.94	$1,311.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $404.29 / $761.35	Professional		$184.23	$404.29	$761.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $206.58 / $396.39	Facility		$89.43	$206.58	$396.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.37 / $396.39 / $4,195.00	Facility		$98.37	$396.39	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $823.44 / $1,159.04	Professional		$298.07	$823.44	$1,159.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $310.19 / $588.73	Professional		$85.00	$310.19	$588.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $206.58 / $396.39	Facility		$89.43	$206.58	$396.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.65 / $407.22 / $858.89	Professional		$223.65	$407.22	$858.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.16 / $457.16 / $457.16	Facility		$457.16	$457.16	$457.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $608.25 / $1,915.04	Professional		$188.50	$608.25	$1,915.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $350.10 / $420.17 / $1,114.14	Professional		$350.10	$420.17	$1,114.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,088.30 / $4,985.00	Facility		$1,957.00	$3,088.30	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $823.44 / $1,097.55	Professional		$305.39	$823.44	$1,097.55