Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.89 / $306.85 / $1,894.00	Facility		$106.89	$306.85	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $202.66 / $443.72	Professional		$92.18	$202.66	$443.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $364.92 / $985.08	Professional		$159.53	$364.92	$985.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $587.59 / $947.76	Facility		$502.83	$587.59	$947.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $343.86 / $668.83	Professional		$162.47	$343.86	$668.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $170.01 / $365.52	Facility		$84.17	$170.01	$365.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $365.52 / $4,793.00	Facility		$92.18	$365.52	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.70 / $653.13 / $1,603.00	Professional		$227.70	$653.13	$1,603.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $273.27 / $414.04	Professional		$70.00	$273.27	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $170.01 / $365.52	Facility		$84.17	$170.01	$365.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $358.15 / $625.72	Professional		$191.73	$358.15	$625.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $487.00 / $487.00	Facility		$487.00	$487.00	$487.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $800.19 / $2,322.16	Professional		$161.57	$800.19	$2,322.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $439.03 / $1,015.59	Professional		$439.03	$439.03	$1,015.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $540.40 / $660.53 / $1,318.90	Professional		$540.40	$660.53	$1,318.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $659.75 / $938.58	Professional		$220.07	$659.75	$938.58