Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.96 / $405.33 / $1,894.00	Facility		$122.96	$405.33	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $218.58 / $876.21	Professional		$107.02	$218.58	$876.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $393.32 / $1,085.97	Professional		$146.59	$393.32	$1,085.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.33 / $688.68 / $1,056.46	Facility		$589.33	$688.68	$1,056.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $403.59 / $905.96	Professional		$150.60	$403.59	$905.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $198.65 / $393.82	Facility		$111.19	$198.65	$393.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $212.16 / $2,783.00	Facility		$111.19	$212.16	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.45 / $702.80 / $1,605.28	Professional		$215.45	$702.80	$1,605.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $157.40 / $425.37	Professional		$32.22	$157.40	$425.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $198.65 / $393.82	Facility		$110.80	$198.65	$393.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.90 / $457.92 / $722.24	Professional		$245.90	$457.92	$722.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $781.32 / $3,728.65	Facility		$181.76	$781.32	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $822.08 / $1,605.28	Professional		$178.83	$822.08	$1,605.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.14 / $402.14 / $819.10	Professional		$402.14	$402.14	$819.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $383.84 / $560.36 / $1,106.20	Professional		$383.84	$560.36	$1,106.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.72 / $406.24 / $927.24	Professional		$204.72	$406.24	$927.24