Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.18 / $467.66 / $1,894.00	Facility		$187.18	$467.66	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $226.96 / $590.29	Professional		$173.40	$226.96	$590.29
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 $214.20 / $530.47 / $1,189.88	Professional		$214.20	$530.47	$1,189.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.34 / $699.21 / $1,127.80	Facility		$598.34	$699.21	$1,127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.05 / $544.37 / $838.30	Professional		$264.05	$544.37	$838.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.18 / $283.50 / $465.39	Facility		$187.18	$283.50	$465.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.32 / $368.44 / $5,261.00	Facility		$193.32	$368.44	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $502.98 / $1,148.32	Professional		$250.80	$502.98	$1,148.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $281.24 / $501.39	Professional		$99.56	$281.24	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.18 / $266.05 / $465.39	Facility		$187.18	$266.05	$465.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $376.40 / $534.80 / $762.21	Professional		$376.40	$534.80	$762.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $810.44 / $810.44 / $810.44	Facility		$810.44	$810.44	$810.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.59 / $832.40 / $2,321.00	Professional		$242.59	$832.40	$2,321.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $531.58 / $842.83 / $1,098.42	Professional		$531.58	$842.83	$1,098.42
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 $226.28 / $502.98 / $1,007.19	Professional		$226.28	$502.98	$1,007.19