Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.94 / $647.16 / $14,482.00	Facility		$205.94	$647.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $274.68 / $541.35	Professional		$157.47	$274.68	$541.35
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 $206.45 / $569.36 / $1,451.13	Professional		$206.45	$569.36	$1,451.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.25 / $987.74 / $1,515.22	Facility		$845.25	$987.74	$1,515.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.19 / $620.16 / $1,284.71	Professional		$226.19	$620.16	$1,284.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $271.26 / $500.09	Facility		$76.75	$271.26	$500.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $295.70 / $2,247.00	Facility		$119.64	$295.70	$2,247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.11 / $880.53 / $2,308.96	Professional		$244.11	$880.53	$2,308.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $231.11 / $635.12	Professional		$32.22	$231.11	$635.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $252.08 / $500.09	Facility		$73.50	$252.08	$500.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.30 / $634.79 / $1,015.81	Professional		$391.30	$634.79	$1,015.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $1,299.72 / $1,354.00	Facility		$305.08	$1,299.72	$1,354.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $1,331.46 / $2,308.96	Professional		$326.58	$1,331.46	$2,308.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $481.41 / $932.13 / $1,589.13	Professional		$481.41	$932.13	$1,589.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $2,695.00 / $4,155.00	Facility		$1,957.00	$2,695.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.73 / $576.03 / $1,321.93	Professional		$245.73	$576.03	$1,321.93