Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.09 / $554.62 / $4,009.85	Facility		$185.09	$554.62	$4,009.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $261.88 / $564.82	Professional		$131.15	$261.88	$564.82
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 $207.72 / $422.08 / $891.95	Professional		$207.72	$422.08	$891.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $878.59 / $1,026.70 / $1,656.04	Facility		$878.59	$1,026.70	$1,656.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $534.66 / $1,140.69	Professional		$252.94	$534.66	$1,140.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $297.37 / $620.80	Facility		$126.00	$297.37	$620.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.13 / $402.25 / $1,778.00	Facility		$152.13	$402.25	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $971.18 / $2,015.16	Professional		$288.75	$971.18	$2,015.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.91 / $246.31 / $630.00	Professional		$37.91	$246.31	$630.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.89 / $288.75 / $620.80	Facility		$120.89	$288.75	$620.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.54 / $611.00 / $1,056.75	Professional		$346.54	$611.00	$1,056.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,074.83 / $1,074.83 / $1,074.83	Facility		$1,074.83	$1,074.83	$1,074.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $235.37 / $1,210.90 / $2,383.12	Professional		$235.37	$1,210.90	$2,383.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $337.19 / $918.19 / $1,959.04	Professional		$337.19	$918.19	$1,959.04
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 $288.75 / $827.22 / $1,269.34	Professional		$288.75	$827.22	$1,269.34