Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $494.79 / $14,482.00	Facility		$147.63	$494.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $233.94 / $461.44	Professional		$125.86	$233.94	$461.44
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 $181.26 / $472.22 / $1,312.27	Professional		$181.26	$472.22	$1,312.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.98 / $830.84 / $1,274.53	Facility		$710.98	$830.84	$1,274.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $489.13 / $1,021.40	Professional		$205.90	$489.13	$1,021.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $225.04 / $441.52	Facility		$115.80	$225.04	$441.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.08 / $249.14 / $2,922.50	Facility		$124.08	$249.14	$2,922.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.68 / $864.41 / $1,959.28	Professional		$255.68	$864.41	$1,959.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $216.72 / $580.74	Professional		$32.22	$216.72	$580.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $222.10 / $441.52	Facility		$105.00	$222.10	$441.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $301.72 / $562.29 / $903.94	Professional		$301.72	$562.29	$903.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $955.20 / $2,922.50	Facility		$228.09	$955.20	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.30 / $1,012.92 / $1,959.28	Professional		$260.30	$1,012.92	$1,959.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $470.31 / $678.68 / $1,342.50	Professional		$470.31	$678.68	$1,342.50
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 $249.83 / $496.96 / $1,127.35	Professional		$249.83	$496.96	$1,127.35