Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.70 / $528.79 / $1,894.00	Facility		$186.70	$528.79	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $286.25 / $620.12	Professional		$182.96	$286.25	$620.12
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 $257.51 / $600.08 / $1,458.88	Professional		$257.51	$600.08	$1,458.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.38 / $826.63 / $1,333.32	Facility		$707.38	$826.63	$1,333.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $613.91 / $1,087.20	Professional		$286.83	$613.91	$1,087.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $279.77 / $505.29	Facility		$152.68	$279.77	$505.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.52 / $360.51 / $5,801.00	Facility		$152.52	$360.51	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $903.35 / $1,667.30	Professional		$261.62	$903.35	$1,667.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $185.36 / $512.71	Professional		$30.95	$185.36	$512.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.74 / $279.77 / $505.29	Facility		$135.74	$279.77	$505.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.06 / $587.60 / $902.09	Professional		$379.06	$587.60	$902.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,179.66 / $1,179.66 / $1,179.66	Facility		$1,179.66	$1,179.66	$1,179.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.31 / $1,112.22 / $1,924.24	Professional		$236.31	$1,112.22	$1,924.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $622.61 / $851.81 / $1,327.49	Professional		$622.61	$851.81	$1,327.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,912.00 / $5,865.00	Facility		$2,781.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $860.69 / $1,372.45	Professional		$266.77	$860.69	$1,372.45