Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $384.88 / $1,894.00	Facility		$127.79	$384.88	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $275.93 / $560.35	Professional		$108.93	$275.93	$560.35
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 $192.34 / $506.69 / $1,458.86	Professional		$192.34	$506.69	$1,458.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.06 / $904.55 / $1,459.01	Facility		$774.06	$904.55	$1,459.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $386.08 / $1,012.14	Professional		$191.96	$386.08	$1,012.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $206.36 / $445.31	Facility		$86.35	$206.36	$445.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.98 / $354.01 / $1,789.00	Facility		$95.98	$354.01	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $948.33 / $1,889.63	Professional		$310.20	$948.33	$1,889.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $323.35 / $676.07	Professional		$85.00	$323.35	$676.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $187.50 / $445.31	Facility		$86.35	$187.50	$445.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.39 / $442.93 / $990.77	Professional		$237.39	$442.93	$990.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $858.20 / $858.20 / $858.20	Facility		$858.20	$858.20	$858.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $1,065.83 / $2,134.04	Professional		$162.07	$1,065.83	$2,134.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $260.70 / $737.41	Professional		$260.70	$260.70	$737.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $551.03 / $632.26 / $1,738.23	Professional		$551.03	$632.26	$1,738.23
United Facility/Professional Facility Modifier Low / Median / High Price $992.90 / $1,370.00 / $2,202.90	Facility		$992.90	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $834.45 / $1,190.27	Professional		$296.33	$834.45	$1,190.27