Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.61 / $726.25 / $4,502.77	Facility		$174.61	$726.25	$4,502.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $324.08 / $1,239.00	Professional		$151.84	$324.08	$1,239.00
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 $262.47 / $625.00 / $1,530.57	Professional		$262.47	$625.00	$1,530.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.89 / $1,023.55 / $1,650.94	Facility		$875.89	$1,023.55	$1,650.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $532.69 / $1,172.99	Professional		$257.04	$532.69	$1,172.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $309.22 / $604.39	Facility		$151.22	$309.22	$604.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $478.66 / $6,023.77	Facility		$151.84	$478.66	$6,023.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.90 / $998.00 / $1,836.27	Professional		$332.90	$998.00	$1,836.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $377.20 / $752.08	Professional		$85.00	$377.20	$752.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $308.62 / $604.39	Facility		$151.22	$308.62	$604.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.54 / $616.28 / $1,085.34	Professional		$346.54	$616.28	$1,085.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $777.93 / $777.93 / $777.93	Facility		$777.93	$777.93	$777.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $1,262.00 / $3,788.13	Professional		$229.79	$1,262.00	$3,788.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $726.03 / $886.44 / $1,951.81	Professional		$726.03	$886.44	$1,951.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.06 / $885.68 / $1,554.74	Professional		$329.06	$885.68	$1,554.74