Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.66 / $502.13 / $14,482.00	Facility		$151.66	$502.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $223.79 / $420.68	Professional		$128.96	$223.79	$420.68
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 $182.24 / $455.19 / $1,183.17	Professional		$182.24	$455.19	$1,183.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.80 / $758.18 / $1,163.07	Facility		$648.80	$758.18	$1,163.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.56 / $492.18 / $985.55	Professional		$205.56	$492.18	$985.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $217.20 / $398.32	Facility		$78.00	$217.20	$398.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $230.63 / $1,051.05	Facility		$127.20	$230.63	$1,051.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.96 / $793.82 / $1,789.52	Professional		$243.96	$793.82	$1,789.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $186.96 / $501.39	Professional		$32.22	$186.96	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $206.15 / $398.32	Facility		$73.50	$206.15	$398.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.98 / $525.60 / $828.99	Professional		$303.98	$525.60	$828.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $972.72 / $1,300.00	Facility		$233.79	$972.72	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $1,027.22 / $1,789.52	Professional		$266.81	$1,027.22	$1,789.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $485.38 / $695.66 / $1,226.04	Professional		$485.38	$695.66	$1,226.04
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 $234.56 / $502.10 / $1,034.58	Professional		$234.56	$502.10	$1,034.58