Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.41 / $481.05 / $14,482.00	Facility		$184.41	$481.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $225.92 / $426.53	Professional		$157.52	$225.92	$426.53
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 $207.66 / $462.99 / $1,257.68	Professional		$207.66	$462.99	$1,257.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $727.64 / $1,116.22	Facility		$622.66	$727.64	$1,116.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $469.06 / $970.15	Professional		$228.16	$469.06	$970.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $247.56 / $392.84	Facility		$170.77	$247.56	$392.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $258.68 / $5,080.00	Facility		$173.64	$258.68	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $770.35 / $2,081.96	Professional		$237.56	$770.35	$2,081.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $308.99 / $471.74	Professional		$102.76	$308.99	$471.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $255.83 / $392.84	Facility		$170.77	$255.83	$392.84
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 $282.58 / $1,177.68 / $7,909.30	Facility		$282.58	$1,177.68	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $992.48 / $2,081.96	Professional		$256.52	$992.48	$2,081.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.04 / $840.62 / $1,184.55	Professional		$575.04	$840.62	$1,184.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.23 / $483.40 / $996.04	Professional		$226.23	$483.40	$996.04