Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.83 / $433.06 / $1,894.00	Facility		$124.83	$433.06	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $322.63 / $608.89	Professional		$90.67	$322.63	$608.89
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 $151.16 / $319.94 / $619.58	Professional		$151.16	$319.94	$619.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.47 / $1,102.52 / $1,778.33	Facility		$943.47	$1,102.52	$1,778.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $428.40 / $1,229.81	Professional		$170.63	$428.40	$1,229.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.43 / $260.38 / $587.41	Facility		$123.43	$260.38	$587.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.83 / $433.06 / $1,778.00	Facility		$124.83	$433.06	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.77 / $1,115.23 / $2,314.07	Professional		$324.77	$1,115.23	$2,314.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $338.46 / $744.93	Professional		$85.00	$338.46	$744.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $260.38 / $587.41	Facility		$120.58	$260.38	$587.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $428.05 / $1,224.85	Professional		$243.49	$428.05	$1,224.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $734.52 / $734.52 / $734.52	Facility		$734.52	$734.52	$734.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $1,328.21 / $2,580.71	Professional		$157.66	$1,328.21	$2,580.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $412.12 / $615.03 / $2,112.11	Professional		$412.12	$615.03	$2,112.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $335.28 / $978.35 / $1,457.62	Professional		$335.28	$978.35	$1,457.62