Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.96 / $471.42 / $3,119.00	Facility		$190.96	$471.42	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.96 / $233.37 / $690.00	Professional		$190.96	$233.37	$690.00
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 $232.95 / $566.84 / $1,424.83	Professional		$232.95	$566.84	$1,424.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.85 / $704.48 / $1,136.30	Facility		$602.85	$704.48	$1,136.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $587.73 / $819.18	Professional		$298.82	$587.73	$819.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $251.42 / $450.47	Facility		$189.28	$251.42	$450.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.96 / $335.36 / $8,103.00	Facility		$190.96	$335.36	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.54 / $712.87 / $1,465.61	Professional		$257.54	$712.87	$1,465.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $293.35 / $645.39	Professional		$85.00	$293.35	$645.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $251.42 / $450.47	Facility		$172.81	$251.42	$450.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.13 / $586.87 / $820.52	Professional		$417.13	$586.87	$820.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $884.12 / $884.12 / $884.12	Facility		$884.12	$884.12	$884.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.92 / $970.20 / $2,163.06	Professional		$261.92	$970.20	$2,163.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $890.01 / $1,111.39 / $1,363.14	Professional		$890.01	$1,111.39	$1,363.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.14 / $657.03 / $1,112.39	Professional		$242.14	$657.03	$1,112.39