Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $445.52 / $1,894.00	Facility		$137.13	$445.52	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $219.44 / $741.27	Professional		$133.36	$219.44	$741.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.26 / $490.22 / $1,191.15	Professional		$199.26	$490.22	$1,191.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.33 / $688.68 / $1,110.82	Facility		$589.33	$688.68	$1,110.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.99 / $450.07 / $907.99	Professional		$226.99	$450.07	$907.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.50 / $217.81 / $425.72	Facility		$113.50	$217.81	$425.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.85 / $285.70 / $5,801.00	Facility		$124.85	$285.70	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.89 / $729.09 / $1,297.51	Professional		$224.89	$729.09	$1,297.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $278.12 / $439.74	Professional		$99.06	$278.12	$439.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $217.38 / $425.72	Facility		$112.40	$217.38	$425.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $491.57 / $761.40	Professional		$282.95	$491.57	$761.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $869.10 / $869.10 / $869.10	Facility		$869.10	$869.10	$869.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $916.96 / $1,611.76	Professional		$173.25	$916.96	$1,611.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $458.10 / $624.46 / $1,108.71	Professional		$458.10	$624.46	$1,108.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.89 / $720.42 / $1,088.61	Professional		$224.89	$720.42	$1,088.61