Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $317.07 / $1,894.00	Facility		$105.57	$317.07	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $252.09 / $667.81	Professional		$89.79	$252.09	$667.81
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 $158.41 / $426.70 / $1,127.95	Professional		$158.41	$426.70	$1,127.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.98 / $735.01 / $1,185.55	Facility		$628.98	$735.01	$1,185.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $353.62 / $824.79	Professional		$161.41	$353.62	$824.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $182.33 / $363.45	Facility		$98.59	$182.33	$363.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.21 / $344.08 / $4,195.00	Facility		$101.21	$344.08	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.61 / $820.43 / $1,608.05	Professional		$280.61	$820.43	$1,608.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $262.87 / $608.95	Professional		$85.00	$262.87	$608.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $182.33 / $363.45	Facility		$98.59	$182.33	$363.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $362.10 / $802.94	Professional		$199.22	$362.10	$802.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $509.90 / $509.90 / $509.90	Facility		$509.90	$509.90	$509.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.61 / $496.08 / $2,433.13	Professional		$154.61	$496.08	$2,433.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $435.10 / $520.33 / $1,416.48	Professional		$435.10	$520.33	$1,416.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $738.21 / $1,051.33	Professional		$252.00	$738.21	$1,051.33