Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $721.15 / $8,483.64	Facility		$199.39	$721.15	$8,483.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $323.42 / $1,368.00	Professional		$199.39	$323.42	$1,368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $732.24 / $1,805.22	Professional		$296.56	$732.24	$1,805.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.12 / $1,148.85 / $1,853.06	Facility		$983.12	$1,148.85	$1,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.75 / $696.45 / $1,323.40	Professional		$327.75	$696.45	$1,323.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $382.27 / $689.10	Facility		$199.39	$382.27	$689.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.18 / $525.00 / $11,100.00	Facility		$229.18	$525.00	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.96 / $834.58 / $1,949.67	Professional		$352.96	$834.58	$1,949.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $398.50 / $857.52	Professional		$85.00	$398.50	$857.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $382.27 / $689.10	Facility		$199.39	$382.27	$689.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.81 / $802.99 / $1,182.66	Professional		$453.81	$802.99	$1,182.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $922.84 / $922.84 / $922.84	Facility		$922.84	$922.84	$922.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.12 / $971.55 / $3,318.00	Professional		$273.12	$971.55	$3,318.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $952.88 / $1,158.89 / $2,202.15	Professional		$952.88	$1,158.89	$2,202.15
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.56 / $910.14 / $1,651.66	Professional		$351.56	$910.14	$1,651.66