Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $376.94 / $3,119.00	Facility		$130.90	$376.94	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $164.11 / $467.12	Professional		$111.60	$164.11	$467.12
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 $167.90 / $427.20 / $1,161.45	Professional		$167.90	$427.20	$1,161.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.54 / $707.64 / $1,141.39	Facility		$605.54	$707.64	$1,141.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.64 / $422.99 / $824.57	Professional		$211.64	$422.99	$824.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.40 / $202.10 / $383.90	Facility		$103.40	$202.10	$383.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $354.03 / $4,195.00	Facility		$112.80	$354.03	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.50 / $709.23 / $1,380.12	Professional		$254.50	$709.23	$1,380.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $298.83 / $561.89	Professional		$85.00	$298.83	$561.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.40 / $202.10 / $383.90	Facility		$103.40	$202.10	$383.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $451.75 / $789.24	Professional		$250.36	$451.75	$789.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $874.44 / $874.44	Facility		$874.44	$874.44	$874.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $197.97 / $912.67 / $1,693.76	Professional		$197.97	$912.67	$1,693.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $538.37 / $538.37 / $1,201.63	Professional		$538.37	$538.37	$1,201.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $560.72 / $712.76 / $1,589.36	Professional		$560.72	$712.76	$1,589.36
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 $239.34 / $681.93 / $1,025.81	Professional		$239.34	$681.93	$1,025.81