Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.61 / $378.54 / $6,461.00	Facility		$155.61	$378.54	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $288.11 / $555.54	Professional		$135.26	$288.11	$555.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $355.68 / $741.41	Professional		$188.44	$355.68	$741.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.23 / $966.68 / $1,559.22	Facility		$827.23	$966.68	$1,559.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $451.98 / $1,077.03	Professional		$214.55	$451.98	$1,077.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.33 / $264.14 / $588.17	Facility		$130.33	$264.14	$588.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $411.63 / $5,261.00	Facility		$143.16	$411.63	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $1,011.26 / $2,098.33	Professional		$296.52	$1,011.26	$2,098.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $218.08 / $635.12	Professional		$30.95	$218.08	$635.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.33 / $254.73 / $588.17	Facility		$130.33	$254.73	$588.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $297.69 / $540.23 / $1,053.43	Professional		$297.69	$540.23	$1,053.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $911.64 / $911.64 / $911.64	Facility		$911.64	$911.64	$911.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.71 / $1,301.81 / $2,255.28	Professional		$198.71	$1,301.81	$2,255.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $632.83 / $776.23 / $1,849.64	Professional		$632.83	$776.23	$1,849.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.98 / $892.91 / $1,348.62	Professional		$313.98	$892.91	$1,348.62