Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.94 / $737.80 / $3,486.71	Facility		$286.94	$737.80	$3,486.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $343.88 / $1,067.27	Professional		$185.00	$343.88	$1,067.27
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 $261.27 / $582.38 / $1,206.82	Professional		$261.27	$582.38	$1,206.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.73 / $876.12 / $1,413.15	Facility		$749.73	$876.12	$1,413.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.81 / $628.02 / $989.41	Professional		$334.81	$628.02	$989.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.33 / $305.86 / $547.99	Facility		$191.33	$305.86	$547.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.39 / $410.86 / $5,801.00	Facility		$202.39	$410.86	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.26 / $920.08 / $1,892.54	Professional		$311.26	$920.08	$1,892.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $216.72 / $583.02	Professional		$30.95	$216.72	$583.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $191.33 / $305.86 / $547.99	Facility		$191.33	$305.86	$547.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $460.88 / $657.07 / $984.86	Professional		$460.88	$657.07	$984.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,435.80 / $1,435.80 / $1,435.80	Facility		$1,435.80	$1,435.80	$1,435.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.61 / $1,186.56 / $2,065.84	Professional		$285.61	$1,186.56	$2,065.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $466.60 / $1,225.64 / $1,685.97	Professional		$466.60	$1,225.64	$1,685.97
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 $307.45 / $710.21 / $1,192.09	Professional		$307.45	$710.21	$1,192.09