Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.94 / $455.54 / $1,894.00	Facility		$158.94	$455.54	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $300.20 / $649.79	Professional		$143.63	$300.20	$649.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $394.25 / $1,277.91	Professional		$168.37	$394.25	$1,277.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.01 / $851.90 / $1,374.09	Facility		$729.01	$851.90	$1,374.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.65 / $506.94 / $1,078.10	Professional		$240.65	$506.94	$1,078.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $246.30 / $529.09	Facility		$136.32	$246.30	$529.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $551.39 / $1,789.00	Facility		$145.41	$551.39	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.51 / $1,027.42 / $1,952.00	Professional		$365.51	$1,027.42	$1,952.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $425.18 / $730.57	Professional		$85.00	$425.18	$730.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $246.30 / $529.09	Facility		$136.32	$246.30	$529.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.98 / $533.65 / $932.33	Professional		$299.98	$533.65	$932.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $594.91	Facility		$594.91	$594.91	$594.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.71 / $1,161.54 / $2,399.94	Professional		$239.71	$1,161.54	$2,399.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $666.10 / $957.66 / $1,914.48	Professional		$666.10	$957.66	$1,914.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $345.43 / $931.00 / $1,368.32	Professional		$345.43	$931.00	$1,368.32