Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $637.80 / $14,482.00	Facility		$189.21	$637.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $271.91 / $586.02	Professional		$161.85	$271.91	$586.02
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 $226.70 / $589.50 / $1,549.84	Professional		$226.70	$589.50	$1,549.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.44 / $975.11 / $1,495.84	Facility		$834.44	$975.11	$1,495.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $622.75 / $1,294.81	Professional		$258.74	$622.75	$1,294.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $277.76 / $524.12	Facility		$133.47	$277.76	$524.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.87 / $292.51 / $3,036.00	Facility		$146.87	$292.51	$3,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.91 / $944.98 / $2,315.04	Professional		$284.91	$944.98	$2,315.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $263.62 / $631.07	Professional		$50.00	$263.62	$631.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $272.20 / $524.12	Facility		$132.00	$272.20	$524.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.45 / $673.92 / $1,062.92	Professional		$385.45	$673.92	$1,062.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $1,221.24 / $7,929.30	Facility		$296.35	$1,221.24	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.76 / $1,286.32 / $2,315.04	Professional		$321.76	$1,286.32	$2,315.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $604.90 / $864.10 / $1,581.00	Professional		$604.90	$864.10	$1,581.00
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 $279.06 / $620.04 / $1,490.65	Professional		$279.06	$620.04	$1,490.65