Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $682.20 / $3,119.00	Facility		$195.22	$682.20	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.22 / $311.92 / $708.13	Professional		$195.22	$311.92	$708.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $5,768.00	Facility		$1,314.00	$3,163.00	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.62 / $696.05 / $1,763.68	Professional		$287.62	$696.05	$1,763.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $931.76 / $1,088.83 / $1,756.25	Facility		$931.76	$1,088.83	$1,756.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $663.48 / $1,254.48	Professional		$313.92	$663.48	$1,254.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $333.52 / $514.61	Facility		$195.22	$333.52	$514.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $397.61 / $5,639.00	Facility		$195.22	$397.61	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.65 / $908.08 / $1,874.98	Professional		$345.65	$908.08	$1,874.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $398.50 / $844.29	Professional		$85.00	$398.50	$844.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $333.52 / $514.61	Facility		$195.22	$333.52	$514.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $760.25 / $1,129.22	Professional		$447.70	$760.25	$1,129.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $905.04 / $905.04	Facility		$905.04	$905.04	$905.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.22 / $1,485.77 / $2,600.56	Professional		$295.22	$1,485.77	$2,600.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $935.30 / $1,138.77 / $2,087.42	Professional		$935.30	$1,138.77	$2,087.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.55 / $724.45 / $1,567.82	Professional		$334.55	$724.45	$1,567.82