Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $386.30 / $1,894.00	Facility		$167.46	$386.30	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $192.15 / $617.12	Professional		$167.46	$192.15	$617.12
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 $181.09 / $476.76 / $1,225.41	Professional		$181.09	$476.76	$1,225.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.91 / $576.01 / $929.08	Facility		$492.91	$576.01	$929.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.82 / $519.29 / $743.24	Professional		$255.82	$519.29	$743.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $206.03 / $369.13	Facility		$136.50	$206.03	$369.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.65 / $276.85 / $8,103.00	Facility		$157.65	$276.85	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.12 / $587.14 / $1,230.96	Professional		$213.12	$587.14	$1,230.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $225.98 / $488.83	Professional		$83.97	$225.98	$488.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.84 / $206.03 / $369.13	Facility		$116.84	$206.03	$369.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $368.10 / $516.20 / $684.14	Professional		$368.10	$516.20	$684.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $971.70 / $971.70 / $971.70	Facility		$971.70	$971.70	$971.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $798.00 / $1,975.77	Professional		$229.07	$798.00	$1,975.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $839.87 / $839.87 / $965.25	Professional		$839.87	$839.87	$965.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $782.44 / $971.99 / $1,116.98	Professional		$782.44	$971.99	$1,116.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.78 / $541.15 / $895.60	Professional		$209.78	$541.15	$895.60