Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $512.12 / $9,892.23	Facility		$132.97	$512.12	$9,892.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $202.59 / $626.48	Professional		$113.35	$202.59	$626.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $417.33 / $1,248.40	Professional		$157.44	$417.33	$1,248.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.94 / $788.72 / $1,209.92	Facility		$674.94	$788.72	$1,209.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.89 / $438.49 / $1,042.03	Professional		$178.89	$438.49	$1,042.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $199.62 / $421.29	Facility		$96.06	$199.62	$421.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $233.45 / $3,014.84	Facility		$107.85	$233.45	$3,014.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $730.00 / $1,854.72	Professional		$206.78	$730.00	$1,854.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $223.96 / $530.80	Professional		$50.00	$223.96	$530.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.19 / $186.17 / $421.29	Facility		$91.19	$186.17	$421.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.79 / $504.10 / $848.29	Professional		$270.79	$504.10	$848.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $858.36 / $3,590.15	Facility		$205.53	$858.36	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $960.79 / $1,854.72	Professional		$233.36	$960.79	$1,854.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.26 / $608.41 / $1,272.29	Professional		$416.26	$608.41	$1,272.29
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 $193.45 / $397.82 / $1,131.09	Professional		$193.45	$397.82	$1,131.09