Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.81 / $423.61 / $1,894.00	Facility		$225.81	$423.61	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $180.88 / $448.77	Professional		$102.86	$180.88	$448.77
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 $147.31 / $366.05 / $1,039.88	Professional		$147.31	$366.05	$1,039.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.79 / $651.83 / $999.92	Facility		$557.79	$651.83	$999.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.12 / $396.88 / $831.73	Professional		$169.12	$396.88	$831.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $180.77 / $348.27	Facility		$97.97	$180.77	$348.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $197.45 / $1,100.00	Facility		$101.99	$197.45	$1,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $631.07 / $1,538.16	Professional		$190.45	$631.07	$1,538.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $268.59 / $419.13	Professional		$85.00	$268.59	$419.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $170.41 / $348.27	Facility		$89.26	$170.41	$348.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $446.40 / $704.07	Professional		$245.04	$446.40	$704.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $776.76 / $1,504.00	Facility		$186.59	$776.76	$1,504.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.21 / $816.32 / $1,538.16	Professional		$211.21	$816.32	$1,538.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.59 / $550.70 / $1,053.73	Professional		$375.59	$550.70	$1,053.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $187.83 / $408.34 / $977.81	Professional		$187.83	$408.34	$977.81