Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.30 / $572.74 / $1,894.00	Facility		$205.30	$572.74	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $303.91 / $1,145.72	Professional		$189.00	$303.91	$1,145.72
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 $281.11 / $656.69 / $1,604.47	Professional		$281.11	$656.69	$1,604.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $747.03 / $872.96 / $1,408.06	Facility		$747.03	$872.96	$1,408.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $667.92 / $1,158.35	Professional		$311.94	$667.92	$1,158.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.80 / $310.86 / $547.28	Facility		$168.80	$310.86	$547.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.68 / $393.90 / $5,261.00	Facility		$185.68	$393.90	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $993.56 / $1,808.57	Professional		$315.00	$993.56	$1,808.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $216.72 / $583.02	Professional		$30.95	$216.72	$583.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $305.45 / $547.28	Facility		$166.12	$305.45	$547.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $420.25 / $638.64 / $978.94	Professional		$420.25	$638.64	$978.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,288.32 / $1,288.32 / $1,288.32	Facility		$1,288.32	$1,288.32	$1,288.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $1,185.03 / $2,064.23	Professional		$257.08	$1,185.03	$2,064.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $709.10 / $926.73 / $1,414.36	Professional		$709.10	$926.73	$1,414.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.57 / $854.46 / $1,445.31	Professional		$295.57	$854.46	$1,445.31