Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $456.48 / $3,119.00	Facility		$156.69	$456.48	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $228.58 / $533.01	Professional		$147.36	$228.58	$533.01
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 $215.96 / $502.39 / $1,065.58	Professional		$215.96	$502.39	$1,065.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.33 / $688.68 / $1,110.82	Facility		$589.33	$688.68	$1,110.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.70 / $482.54 / $795.31	Professional		$237.70	$482.54	$795.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.74 / $239.92 / $363.82	Facility		$101.74	$239.92	$363.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $291.58 / $8,384.00	Facility		$132.91	$291.58	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.71 / $711.59 / $1,162.11	Professional		$251.71	$711.59	$1,162.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $281.24 / $515.37	Professional		$99.56	$281.24	$515.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.74 / $239.92 / $363.82	Facility		$101.74	$239.92	$363.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $496.26 / $745.34	Professional		$333.30	$496.26	$745.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $681.40 / $681.40 / $681.40	Facility		$681.40	$681.40	$681.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $941.94 / $1,672.81	Professional		$202.72	$941.94	$1,672.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $396.50 / $396.50 / $611.40	Professional		$396.50	$396.50	$611.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $704.27 / $1,083.58	Professional		$446.13	$704.27	$1,083.58
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 $231.22 / $698.74 / $1,019.29	Professional		$231.22	$698.74	$1,019.29