Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $470.29 / $1,894.00	Facility		$158.41	$470.29	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $263.88 / $706.56	Professional		$135.44	$263.88	$706.56
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 $191.84 / $380.03 / $782.41	Professional		$191.84	$380.03	$782.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,010.16 / $1,180.45 / $1,904.02	Facility		$1,010.16	$1,180.45	$1,904.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $512.38 / $1,319.84	Professional		$234.57	$512.38	$1,319.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.74 / $252.15 / $586.50	Facility		$140.74	$252.15	$586.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $459.64 / $1,789.00	Facility		$141.94	$459.64	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $1,162.80 / $2,412.78	Professional		$343.88	$1,162.80	$2,412.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $377.67 / $830.91	Professional		$85.00	$377.67	$830.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $241.50 / $586.50	Facility		$129.01	$241.50	$586.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $539.87 / $1,320.81	Professional		$302.27	$539.87	$1,320.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $922.56 / $922.56 / $922.56	Facility		$922.56	$922.56	$922.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $1,427.78 / $2,773.92	Professional		$198.85	$1,427.78	$2,773.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $727.12 / $775.71 / $2,266.67	Professional		$727.12	$775.71	$2,266.67
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 $343.88 / $1,013.57 / $1,550.72	Professional		$343.88	$1,013.57	$1,550.72