Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $357.28 / $1,894.00	Facility		$0.68	$357.28	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $195.72 / $802.51	Professional		$131.83	$195.72	$802.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $381.75 / $1,048.26	Professional		$169.17	$381.75	$1,048.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.14 / $605.49 / $928.84	Facility		$518.14	$605.49	$928.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $392.17 / $803.13	Professional		$186.73	$392.17	$803.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $195.72 / $368.07	Facility		$137.85	$195.72	$368.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.99 / $206.74 / $972.79	Facility		$137.99	$206.74	$972.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.29 / $638.09 / $1,434.56	Professional		$197.29	$638.09	$1,434.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $262.64 / $429.63	Professional		$98.47	$262.64	$429.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.77 / $193.36 / $368.07	Facility		$133.77	$193.36	$368.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $445.06 / $656.38	Professional		$295.42	$445.06	$656.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.43 / $965.16 / $2,220.16	Facility		$229.43	$965.16	$2,220.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.57 / $821.61 / $1,434.56	Professional		$210.57	$821.61	$1,434.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $481.62 / $689.76 / $980.62	Professional		$481.62	$689.76	$980.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $384.25 / $832.20	Professional		$184.59	$384.25	$832.20