Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $422.01 / $14,482.00	Facility		$135.41	$422.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $230.32 / $751.53	Professional		$124.67	$230.32	$751.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $393.72 / $1,119.40	Professional		$179.38	$393.72	$1,119.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.67 / $642.35 / $985.38	Facility		$549.67	$642.35	$985.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.14 / $445.12 / $857.49	Professional		$197.14	$445.12	$857.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $210.28 / $382.13	Facility		$126.76	$210.28	$382.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.63 / $225.07 / $3,242.00	Facility		$125.63	$225.07	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $615.41 / $1,538.08	Professional		$210.81	$615.41	$1,538.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $325.87 / $471.74	Professional		$85.00	$325.87	$471.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $210.33 / $382.13	Facility		$126.76	$210.33	$382.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.57 / $442.80 / $698.39	Professional		$270.57	$442.80	$698.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $724.40 / $724.40	Facility		$210.39	$724.40	$724.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $689.06 / $1,538.08	Professional		$236.87	$689.06	$1,538.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $617.58 / $681.07 / $1,047.01	Professional		$617.58	$681.07	$1,047.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.56 / $374.72 / $878.36	Professional		$205.56	$374.72	$878.36