Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.47 / $611.21 / $6,630.08	Facility		$243.47	$611.21	$6,630.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $281.20 / $503.38	Professional		$118.78	$281.20	$503.38
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 $172.84 / $479.99 / $1,467.46	Professional		$172.84	$479.99	$1,467.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $807.40 / $943.51 / $1,447.38	Facility		$807.40	$943.51	$1,447.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $460.00 / $1,096.51	Professional		$189.96	$460.00	$1,096.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.08 / $283.50 / $531.27	Facility		$123.08	$283.50	$531.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.21 / $298.82 / $2,873.64	Facility		$125.21	$298.82	$2,873.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.80 / $976.82 / $2,214.71	Professional		$305.80	$976.82	$2,214.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $434.07 / $756.05	Professional		$85.00	$434.07	$756.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $283.50 / $531.27	Facility		$124.14	$283.50	$531.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.35 / $548.79 / $1,006.14	Professional		$267.35	$548.79	$1,006.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $695.10 / $3,590.15	Facility		$202.46	$695.10	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.50 / $1,274.72 / $2,214.71	Professional		$228.50	$1,274.72	$2,214.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $595.74 / $1,521.37	Professional		$434.40	$595.74	$1,521.37
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 $291.24 / $597.17 / $1,420.96	Professional		$291.24	$597.17	$1,420.96