Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.49 / $564.03 / $5,388.34	Facility		$174.49	$564.03	$5,388.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $462.67 / $757.96	Professional		$142.86	$462.67	$757.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $699.64 / $2,475.50	Professional		$256.60	$699.64	$2,475.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.64 / $1,356.30 / $2,187.67	Facility		$1,160.64	$1,356.30	$2,187.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $736.38 / $1,713.82	Professional		$267.16	$736.38	$1,713.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $300.43 / $833.28	Facility		$151.19	$300.43	$833.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.28 / $833.28 / $1,789.00	Facility		$161.28	$833.28	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.63 / $1,654.68 / $3,137.90	Professional		$638.63	$1,654.68	$3,137.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $467.76 / $1,056.75	Professional		$85.00	$467.76	$1,056.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $300.43 / $833.28	Facility		$151.19	$300.43	$833.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $330.33 / $626.22 / $1,446.75	Professional		$330.33	$626.22	$1,446.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $713.64 / $713.64 / $713.64	Facility		$713.64	$713.64	$713.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.73 / $1,654.68 / $3,194.32	Professional		$243.73	$1,654.68	$3,194.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $951.40 / $2,550.04 / $3,023.54	Professional		$951.40	$2,550.04	$3,023.54
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 $538.37 / $1,612.54 / $2,723.71	Professional		$538.37	$1,612.54	$2,723.71