Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.13 / $444.60 / $3,119.00	Facility		$155.13	$444.60	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $197.57 / $570.28	Professional		$133.54	$197.57	$570.28
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 $200.79 / $454.41 / $1,145.54	Professional		$200.79	$454.41	$1,145.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.41 / $677.10 / $1,092.14	Facility		$579.41	$677.10	$1,092.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $447.91 / $763.40	Professional		$210.60	$447.91	$763.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $237.12 / $424.84	Facility		$129.16	$237.12	$424.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $318.82 / $8,384.00	Facility		$140.90	$318.82	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.77 / $692.99 / $1,799.00	Professional		$237.77	$692.99	$1,799.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $282.23 / $501.39	Professional		$85.00	$282.23	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $237.12 / $424.84	Facility		$117.42	$237.12	$424.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $296.69 / $494.62 / $766.13	Professional		$296.69	$494.62	$766.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,058.75 / $1,058.75 / $1,058.75	Facility		$1,058.75	$1,058.75	$1,058.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.27 / $922.73 / $1,991.24	Professional		$179.27	$922.73	$1,991.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $308.25 / $308.25 / $530.37	Professional		$308.25	$308.25	$530.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $322.55 / $769.28 / $1,311.05	Professional		$322.55	$769.28	$1,311.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.25 / $681.31 / $995.29	Professional		$232.25	$681.31	$995.29