Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.61 / $326.75 / $1,894.00	Facility		$107.61	$326.75	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $197.84 / $394.56	Professional		$91.51	$197.84	$394.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $326.75 / $1,121.68	Professional		$109.16	$326.75	$1,121.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.22 / $775.03 / $1,250.09	Facility		$663.22	$775.03	$1,250.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $396.05 / $976.42	Professional		$172.77	$396.05	$976.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $184.78 / $477.41	Facility		$92.24	$184.78	$477.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.39 / $501.32 / $1,789.00	Facility		$98.39	$501.32	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $886.97 / $1,490.50	Professional		$323.00	$886.97	$1,490.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $303.89 / $551.40	Professional		$85.00	$303.89	$551.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $184.78 / $477.41	Facility		$92.24	$184.78	$477.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $371.17 / $832.39	Professional		$203.28	$371.17	$832.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $462.65 / $462.65 / $462.65	Facility		$462.65	$462.65	$462.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $947.98 / $1,830.88	Professional		$161.19	$947.98	$1,830.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $439.46 / $439.46 / $1,366.19	Professional		$439.46	$439.46	$1,366.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $580.35 / $1,350.61 / $1,731.03	Professional		$580.35	$1,350.61	$1,731.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $839.83 / $1,301.52	Professional		$315.80	$839.83	$1,301.52