Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.11 / $483.05 / $14,482.00	Facility		$184.11	$483.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $228.23 / $647.26	Professional		$158.22	$228.23	$647.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $465.77 / $1,270.24	Professional		$203.00	$465.77	$1,270.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.08 / $733.96 / $1,125.92	Facility		$628.08	$733.96	$1,125.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $471.10 / $977.01	Professional		$224.35	$471.10	$977.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.18 / $236.75 / $440.00	Facility		$161.18	$236.75	$440.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $252.67 / $2,922.50	Facility		$162.13	$252.67	$2,922.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.45 / $776.56 / $1,748.08	Professional		$241.45	$776.56	$1,748.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $326.33 / $518.41	Professional		$85.00	$326.33	$518.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $236.16 / $440.00	Facility		$155.88	$236.16	$440.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.30 / $541.30 / $798.33	Professional		$359.30	$541.30	$798.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $279.22 / $1,173.72 / $2,922.50	Facility		$279.22	$1,173.72	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.38 / $999.50 / $1,748.08	Professional		$256.38	$999.50	$1,748.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $586.41 / $838.77 / $1,192.90	Professional		$586.41	$838.77	$1,192.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,827.00 / $6,438.00	Facility		$2,723.00	$3,827.00	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.94 / $466.58 / $1,012.79	Professional		$238.94	$466.58	$1,012.79