Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.87 / $372.25 / $6,321.60	Facility		$208.87	$372.25	$6,321.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $209.40 / $483.28	Professional		$94.90	$209.40	$483.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $362.57 / $1,111.84	Professional		$142.18	$362.57	$1,111.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.89 / $746.60 / $1,145.30	Facility		$638.89	$746.60	$1,145.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $395.78 / $983.51	Professional		$163.13	$395.78	$983.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $168.40 / $396.53	Facility		$92.83	$168.40	$396.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.36 / $206.72 / $2,331.19	Facility		$95.36	$206.72	$2,331.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $705.67 / $1,746.00	Professional		$207.49	$705.67	$1,746.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $200.57 / $485.34	Professional		$50.00	$200.57	$485.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.13 / $168.40 / $401.20	Facility		$86.13	$168.40	$401.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.74 / $432.89 / $799.46	Professional		$227.74	$432.89	$799.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $716.16 / $3,428.65	Facility		$171.40	$716.16	$3,428.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.82 / $900.34 / $1,746.00	Professional		$194.82	$900.34	$1,746.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $342.61 / $507.94 / $1,200.86	Professional		$342.61	$507.94	$1,200.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $421.50 / $1,115.14	Professional		$204.19	$421.50	$1,115.14