Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $263.52 / $1,894.00	Facility		$35.46	$263.52	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $247.16 / $526.22	Professional		$35.46	$247.16	$526.22
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 $79.70 / $381.64 / $1,434.09	Professional		$79.70	$381.64	$1,434.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.51 / $952.99 / $1,537.14	Facility		$815.51	$952.99	$1,537.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $387.06 / $1,079.16	Professional		$78.17	$387.06	$1,079.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $88.12 / $571.42	Facility		$37.95	$88.12	$571.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $462.22 / $1,789.00	Facility		$41.75	$462.22	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $419.90 / $1,102.90 / $1,760.38	Professional		$419.90	$1,102.90	$1,760.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $297.29 / $774.73	Professional		$85.00	$297.29	$774.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $88.12 / $571.42	Facility		$37.95	$88.12	$571.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $309.33 / $1,016.78	Professional		$95.48	$309.33	$1,016.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $187.71 / $187.71 / $187.71	Facility		$187.71	$187.71	$187.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $815.01 / $2,194.88	Professional		$80.02	$815.01	$2,194.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $699.09 / $1,289.18	Professional		$176.84	$699.09	$1,289.18
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 $396.47 / $986.37 / $1,661.01	Professional		$396.47	$986.37	$1,661.01