Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.82 / $512.15 / $4,422.60	Facility		$190.82	$512.15	$4,422.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $236.74 / $829.07	Professional		$146.60	$236.74	$829.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.73 / $558.91 / $1,345.51	Professional		$241.73	$558.91	$1,345.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.03 / $777.14 / $1,253.49	Facility		$665.03	$777.14	$1,253.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $545.13 / $878.00	Professional		$258.87	$545.13	$878.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $185.16 / $291.35 / $489.38	Facility		$185.16	$291.35	$489.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.82 / $367.92 / $5,261.00	Facility		$190.82	$367.92	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $832.56 / $1,712.72	Professional		$283.70	$832.56	$1,712.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $341.19 / $577.40	Professional		$85.00	$341.19	$577.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $281.07 / $489.38	Facility		$180.48	$281.07	$489.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $366.86 / $571.71 / $885.54	Professional		$366.86	$571.71	$885.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,306.20 / $1,306.20 / $1,306.20	Facility		$1,306.20	$1,306.20	$1,306.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $1,061.24 / $1,860.56	Professional		$220.86	$1,061.24	$1,860.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $502.16 / $947.77 / $1,507.87	Professional		$502.16	$947.77	$1,507.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $662.68 / $1,078.83	Professional		$267.10	$662.68	$1,078.83