Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $613.96 / $3,119.00	Facility		$220.51	$613.96	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $313.66 / $773.71	Professional		$220.51	$313.66	$773.71
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 $292.13 / $705.31 / $1,711.78	Professional		$292.13	$705.31	$1,711.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.68 / $919.30 / $1,482.79	Facility		$786.68	$919.30	$1,482.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.63 / $730.20 / $1,220.74	Professional		$334.63	$730.20	$1,220.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $206.18 / $326.35 / $586.66	Facility		$206.18	$326.35	$586.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $479.07 / $1,789.00	Facility		$210.00	$479.07	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $1,044.06 / $1,959.99	Professional		$334.62	$1,044.06	$1,959.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $230.46 / $649.83	Professional		$30.95	$230.46	$649.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $206.18 / $326.35 / $586.66	Facility		$206.18	$326.35	$586.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $466.77 / $694.99 / $1,049.88	Professional		$466.77	$694.99	$1,049.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,406.82 / $1,406.82 / $1,406.82	Facility		$1,406.82	$1,406.82	$1,406.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.07 / $1,248.83 / $2,176.48	Professional		$281.07	$1,248.83	$2,176.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $798.38 / $1,013.16 / $1,490.53	Professional		$798.38	$1,013.16	$1,490.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $327.23 / $960.13 / $1,586.23	Professional		$327.23	$960.13	$1,586.23