Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.17 / $660.89 / $14,482.00	Facility		$198.17	$660.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.53 / $223.63 / $673.64	Professional		$169.53	$223.63	$673.64
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 $175.36 / $579.85 / $1,302.68	Professional		$175.36	$579.85	$1,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,434.58 / $1,676.42 / $2,571.67	Facility		$1,434.58	$1,676.42	$2,571.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $740.00 / $2,207.11	Professional		$262.14	$740.00	$2,207.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $304.67 / $842.14	Facility		$184.45	$304.67	$842.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.29 / $377.52 / $3,912.00	Facility		$181.29	$377.52	$3,912.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $587.59 / $3,924.32	Professional		$195.61	$587.59	$3,924.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $444.92 / $1,105.09	Professional		$47.36	$444.92	$1,105.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $182.20 / $304.67 / $849.06	Facility		$182.20	$304.67	$849.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $423.92 / $801.40 / $1,724.80	Professional		$423.92	$801.40	$1,724.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $315.74 / $864.56 / $864.56	Facility		$315.74	$864.56	$864.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $1,353.60 / $3,924.32	Professional		$345.00	$1,353.60	$3,924.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $903.52 / $2,694.89	Professional		$645.54	$903.52	$2,694.89
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 $193.77 / $473.51 / $989.88	Professional		$193.77	$473.51	$989.88