Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $608.96 / $14,482.00	Facility		$183.37	$608.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $263.66 / $692.45	Professional		$164.14	$263.66	$692.45
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 $242.93 / $687.85 / $2,301.64	Professional		$242.93	$687.85	$2,301.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.50 / $1,411.06 / $2,164.60	Facility		$1,207.50	$1,411.06	$2,164.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.11 / $681.11 / $1,787.32	Professional		$263.11	$681.11	$1,787.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.75 / $425.56 / $794.84	Facility		$169.75	$425.56	$794.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.75 / $444.22 / $3,242.00	Facility		$169.75	$444.22	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $1,402.49 / $3,314.00	Professional		$256.61	$1,402.49	$3,314.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $564.42 / $1,026.26	Professional		$85.00	$564.42	$1,026.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.89 / $425.56 / $868.26	Facility		$172.89	$425.56	$868.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $377.88 / $771.15 / $1,498.99	Professional		$377.88	$771.15	$1,498.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $1,175.46 / $4,901.45	Facility		$286.80	$1,175.46	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $1,819.00 / $3,314.00	Professional		$320.39	$1,819.00	$3,314.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $692.38 / $835.33 / $2,275.94	Professional		$692.38	$835.33	$2,275.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.69 / $766.92 / $2,168.07	Professional		$263.69	$766.92	$2,168.07