Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.46 / $414.25 / $4,632.35	Facility		$216.46	$414.25	$4,632.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $280.14 / $931.95	Professional		$203.78	$280.14	$931.95
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 $261.44 / $622.79 / $1,372.04	Professional		$261.44	$622.79	$1,372.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.25 / $796.09 / $1,284.07	Facility		$681.25	$796.09	$1,284.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $629.22 / $952.47	Professional		$301.75	$629.22	$952.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.52 / $286.14 / $506.33	Facility		$202.52	$286.14	$506.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $420.00 / $8,103.00	Facility		$205.70	$420.00	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.49 / $832.65 / $1,500.48	Professional		$295.49	$832.65	$1,500.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $338.98 / $577.40	Professional		$119.78	$338.98	$577.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $202.52 / $286.14 / $506.33	Facility		$202.52	$286.14	$506.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $442.77 / $622.97 / $867.88	Professional		$442.77	$622.97	$867.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $941.36 / $941.36 / $941.36	Facility		$941.36	$941.36	$941.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $1,093.41 / $1,922.80	Professional		$280.39	$1,093.41	$1,922.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $614.55 / $974.18 / $1,257.82	Professional		$614.55	$974.18	$1,257.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.49 / $767.42 / $1,193.18	Professional		$295.49	$767.42	$1,193.18