Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.68 / $487.67 / $1,894.00	Facility		$144.68	$487.67	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $240.55 / $765.03	Professional		$144.68	$240.55	$765.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $526.47 / $1,325.68	Professional		$225.66	$526.47	$1,325.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.39 / $741.33 / $1,195.74	Facility		$634.39	$741.33	$1,195.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $500.93 / $856.75	Professional		$239.73	$500.93	$856.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.68 / $248.29 / $465.99	Facility		$144.68	$248.29	$465.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.85 / $465.99 / $8,384.00	Facility		$153.85	$465.99	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $743.55 / $1,325.88	Professional		$270.91	$743.55	$1,325.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $307.45 / $577.40	Professional		$85.00	$307.45	$577.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.68 / $248.29 / $465.99	Facility		$144.68	$248.29	$465.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $539.65 / $835.89	Professional		$321.10	$539.65	$835.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $824.90 / $824.90 / $824.90	Facility		$824.90	$824.90	$824.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.44 / $710.15 / $2,203.34	Professional		$196.44	$710.15	$2,203.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $692.76 / $833.54 / $1,425.62	Professional		$692.76	$833.54	$1,425.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.69 / $716.07 / $1,111.33	Professional		$244.69	$716.07	$1,111.33