Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.82 / $429.80 / $3,119.00	Facility		$160.82	$429.80	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.40 / $198.62 / $585.88	Professional		$138.40	$198.62	$585.88
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 $203.59 / $471.06 / $1,133.71	Professional		$203.59	$471.06	$1,133.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.40 / $656.04 / $1,058.17	Facility		$561.40	$656.04	$1,058.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.94 / $456.32 / $739.80	Professional		$217.94	$456.32	$739.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $244.51 / $428.07	Facility		$133.85	$244.51	$428.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $309.81 / $1,778.00	Facility		$148.10	$309.81	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $696.31 / $1,499.00	Professional		$239.26	$696.31	$1,499.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $285.69 / $501.39	Professional		$85.00	$285.69	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $236.33 / $428.07	Facility		$126.60	$236.33	$428.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.37 / $478.59 / $741.30	Professional		$307.37	$478.59	$741.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,099.21 / $1,099.21 / $1,099.21	Facility		$1,099.21	$1,099.21	$1,099.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.96 / $894.20 / $1,661.02	Professional		$185.96	$894.20	$1,661.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $315.01 / $315.01 / $519.67	Professional		$315.01	$315.01	$519.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $798.01 / $1,270.56	Professional		$321.12	$798.01	$1,270.56
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $230.94 / $582.10 / $910.09	Professional		$230.94	$582.10	$910.09