Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.85 / $909.23 / $4,539.81	Facility		$235.85	$909.23	$4,539.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $315.70 / $909.23	Professional		$229.90	$315.70	$909.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.97 / $785.40 / $1,840.26	Professional		$321.97	$785.40	$1,840.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.48 / $1,017.23 / $1,640.75	Facility		$870.48	$1,017.23	$1,640.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.08 / $767.85 / $1,172.64	Professional		$467.08	$767.85	$1,172.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $226.74 / $336.83 / $646.54	Facility		$226.74	$336.83	$646.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.85 / $524.08 / $8,384.00	Facility		$235.85	$524.08	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $914.94 / $1,980.00	Professional		$377.51	$914.94	$1,980.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.91 / $282.32 / $722.03	Professional		$37.91	$282.32	$722.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.72 / $331.80 / $646.54	Facility		$212.72	$331.80	$646.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $574.02 / $801.50 / $1,196.49	Professional		$574.02	$801.50	$1,196.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,782.84 / $1,782.84 / $1,782.84	Facility		$1,782.84	$1,782.84	$1,782.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $477.84 / $1,395.05 / $2,466.08	Professional		$477.84	$1,395.05	$2,466.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.77 / $1,402.42 / $1,817.26	Professional		$1,104.77	$1,402.42	$1,817.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $820.02 / $1,398.24	Professional		$370.82	$820.02	$1,398.24