Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $442.30 / $3,119.00	Facility		$145.47	$442.30	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $200.89 / $535.14	Professional		$125.28	$200.89	$535.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $430.58 / $1,121.10	Professional		$193.20	$430.58	$1,121.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.52 / $676.05 / $1,090.44	Facility		$578.52	$676.05	$1,090.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.61 / $419.80 / $760.20	Professional		$197.61	$419.80	$760.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $121.33 / $235.99 / $407.90	Facility		$121.33	$235.99	$407.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $303.58 / $6,150.00	Facility		$132.36	$303.58	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $701.00 / $1,454.55	Professional		$240.12	$701.00	$1,454.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $286.68 / $501.39	Professional		$85.00	$286.68	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $235.99 / $407.90	Facility		$115.50	$235.99	$407.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $470.53 / $762.58	Professional		$279.14	$470.53	$762.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $991.13 / $991.13 / $991.13	Facility		$991.13	$991.13	$991.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $918.86 / $1,604.40	Professional		$168.01	$918.86	$1,604.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.39 / $288.39 / $528.82	Professional		$288.39	$288.39	$528.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.39 / $720.98 / $1,305.53	Professional		$301.39	$720.98	$1,305.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $629.76 / $934.86	Professional		$240.12	$629.76	$934.86