Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.76 / $754.94 / $6,981.90	Facility		$168.76	$754.94	$6,981.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $372.28 / $1,928.95	Professional		$166.09	$372.28	$1,928.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.69 / $744.35 / $1,815.55	Professional		$296.69	$744.35	$1,815.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.99 / $1,214.14 / $1,958.37	Facility		$1,038.99	$1,214.14	$1,958.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $588.92 / $1,391.41	Professional		$277.27	$588.92	$1,391.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.76 / $335.53 / $570.09	Facility		$168.76	$335.53	$570.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.35 / $721.39 / $6,235.14	Facility		$182.35	$721.39	$6,235.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.64 / $1,010.25 / $1,931.79	Professional		$370.64	$1,010.25	$1,931.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $410.58 / $839.42	Professional		$85.00	$410.58	$839.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.76 / $335.53 / $570.09	Facility		$168.76	$335.53	$570.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $384.70 / $689.75 / $1,261.79	Professional		$384.70	$689.75	$1,261.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $778.76 / $778.76 / $778.76	Facility		$778.76	$778.76	$778.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.95 / $822.70 / $2,871.76	Professional		$230.95	$822.70	$2,871.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $979.96 / $1,396.17 / $2,315.27	Professional		$979.96	$1,396.17	$2,315.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,912.00 / $5,865.00	Facility		$2,781.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.03 / $1,001.78 / $1,828.61	Professional		$374.03	$1,001.78	$1,828.61