Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.75 / $333.33 / $898.30	Facility		$132.75	$333.33	$898.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $204.75 / $466.24	Professional		$126.68	$204.75	$466.24
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 $192.88 / $468.55 / $1,171.41	Professional		$192.88	$468.55	$1,171.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $643.40 / $1,037.78	Facility		$550.58	$643.40	$1,037.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $437.80 / $847.81	Professional		$204.39	$437.80	$847.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $207.38 / $405.34	Facility		$105.00	$207.38	$405.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.13 / $290.08 / $3,995.00	Facility		$112.13	$290.08	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $725.35 / $1,339.75	Professional		$208.30	$725.35	$1,339.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $278.76 / $439.74	Professional		$99.06	$278.76	$439.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $200.45 / $405.34	Facility		$75.73	$200.45	$405.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $467.14 / $723.57	Professional		$278.39	$467.14	$723.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $842.46 / $842.46 / $842.46	Facility		$842.46	$842.46	$842.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $168.51 / $867.33 / $1,503.20	Professional		$168.51	$867.33	$1,503.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $474.21 / $607.42 / $1,035.16	Professional		$474.21	$607.42	$1,035.16
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 $204.19 / $672.02 / $1,055.15	Professional		$204.19	$672.02	$1,055.15