Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $215.62 / $1,894.00	Facility		$49.56	$215.62	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $186.84 / $464.66	Professional		$49.56	$186.84	$464.66
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 $65.28 / $147.22 / $327.85	Professional		$65.28	$147.22	$327.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.11 / $669.73 / $1,027.38	Facility		$573.11	$669.73	$1,027.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $229.29 / $954.57	Professional		$89.18	$229.29	$954.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $125.71 / $404.33	Facility		$49.56	$125.71	$404.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $208.77 / $1,449.00	Facility		$50.17	$208.77	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $507.18 / $2,264.06	Professional		$188.06	$507.18	$2,264.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $198.02 / $474.86	Professional		$112.30	$198.02	$474.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $125.71 / $404.33	Facility		$49.56	$125.71	$404.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $220.50 / $663.14	Professional		$117.46	$220.50	$663.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $668.91 / $668.91 / $668.91	Facility		$668.91	$668.91	$668.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $791.94 / $2,264.06	Professional		$119.03	$791.94	$2,264.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $174.48 / $321.11 / $1,361.35	Professional		$174.48	$321.11	$1,361.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $447.72 / $858.31	Professional		$197.95	$447.72	$858.31