Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $1,559.50 / $5,924.66	Facility		$157.87	$1,559.50	$5,924.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $267.85 / $1,083.75	Professional		$1.46	$267.85	$1,083.75
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 $232.42 / $543.71 / $1,486.30	Professional		$232.42	$543.71	$1,486.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.12 / $861.38 / $1,389.37	Facility		$737.12	$861.38	$1,389.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.61 / $455.18 / $969.88	Professional		$221.61	$455.18	$969.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.46 / $277.44 / $542.27	Facility		$152.46	$277.44	$542.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $403.14 / $5,261.00	Facility		$157.87	$403.14	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $933.83 / $1,860.75	Professional		$314.64	$933.83	$1,860.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $431.67 / $664.74	Professional		$85.00	$431.67	$664.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.46 / $277.44 / $542.27	Facility		$152.46	$277.44	$542.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $296.16 / $536.79 / $967.12	Professional		$296.16	$536.79	$967.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,063.30 / $1,063.30 / $1,063.30	Facility		$1,063.30	$1,063.30	$1,063.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.38 / $1,172.30 / $2,043.68	Professional		$200.38	$1,172.30	$2,043.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $667.92 / $781.69 / $1,665.69	Professional		$667.92	$781.69	$1,665.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $878.59 / $1,172.08	Professional		$306.88	$878.59	$1,172.08