Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $584.70 / $3,119.00	Facility		$162.03	$584.70	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.03 / $387.33 / $851.93	Professional		$162.03	$387.33	$851.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $717.28 / $1,751.29	Professional		$285.50	$717.28	$1,751.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.34 / $1,167.81 / $1,883.64	Facility		$999.34	$1,167.81	$1,883.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $566.50 / $1,336.33	Professional		$259.72	$566.50	$1,336.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $313.49 / $548.78	Facility		$160.38	$313.49	$548.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.91 / $409.33 / $4,514.00	Facility		$151.91	$409.33	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $1,199.11 / $2,452.69	Professional		$424.55	$1,199.11	$2,452.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $480.82 / $839.42	Professional		$85.00	$480.82	$839.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $313.49 / $548.78	Facility		$160.38	$313.49	$548.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.44 / $663.50 / $1,236.69	Professional		$369.44	$663.50	$1,236.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $750.04 / $750.04 / $750.04	Facility		$750.04	$750.04	$750.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.38 / $1,413.36 / $3,365.44	Professional		$244.38	$1,413.36	$3,365.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $942.68 / $1,636.84 / $2,223.62	Professional		$942.68	$1,636.84	$2,223.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,725.00	Facility		$2,257.00	$3,088.30	$4,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.26 / $1,183.31 / $1,846.21	Professional		$430.26	$1,183.31	$1,846.21