Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $466.20 / $3,816.18	Facility		$161.25	$466.20	$3,816.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $325.63 / $1,075.72	Professional		$137.04	$325.63	$1,075.72
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 $170.81 / $417.28 / $1,301.02	Professional		$170.81	$417.28	$1,301.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.58 / $920.35 / $1,484.49	Facility		$787.58	$920.35	$1,484.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $522.26 / $1,095.39	Professional		$246.77	$522.26	$1,095.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $268.26 / $576.76	Facility		$139.51	$268.26	$576.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.81 / $577.16 / $2,043.20	Facility		$148.81	$577.16	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $1,107.38 / $1,969.00	Professional		$386.06	$1,107.38	$1,969.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.42 / $361.53 / $794.72	Professional		$183.42	$361.53	$794.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $268.26 / $576.76	Facility		$139.51	$268.26	$576.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.23 / $574.46 / $1,010.68	Professional		$307.23	$574.46	$1,010.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.39 / $1,252.80 / $2,421.96	Professional		$245.39	$1,252.80	$2,421.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $673.26 / $957.68 / $2,064.90	Professional		$673.26	$957.68	$2,064.90
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 $364.31 / $1,072.82 / $1,452.87	Professional		$364.31	$1,072.82	$1,452.87