Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.16 / $451.10 / $3,486.71	Facility		$188.16	$451.10	$3,486.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $224.89 / $771.70	Professional		$128.11	$224.89	$771.70
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 $195.90 / $427.43 / $911.96	Professional		$195.90	$427.43	$911.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.74 / $695.00 / $1,121.01	Facility		$594.74	$695.00	$1,121.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $473.85 / $774.46	Professional		$252.94	$473.85	$774.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.96 / $239.28 / $431.05	Facility		$137.96	$239.28	$431.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.72 / $311.45 / $5,261.00	Facility		$150.72	$311.45	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.97 / $725.74 / $1,492.80	Professional		$239.97	$725.74	$1,492.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $156.16 / $425.37	Professional		$30.95	$156.16	$425.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.96 / $239.28 / $431.05	Facility		$137.96	$239.28	$431.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $512.16 / $772.04	Professional		$344.25	$512.16	$772.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,080.42 / $1,080.42 / $1,080.42	Facility		$1,080.42	$1,080.42	$1,080.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $936.09 / $1,621.92	Professional		$215.50	$936.09	$1,621.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $336.58 / $924.76 / $1,330.10	Professional		$336.58	$924.76	$1,330.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $613.13 / $940.31	Professional		$223.39	$613.13	$940.31