Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $455.76 / $1,894.00	Facility		$141.41	$455.76	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $220.84 / $487.93	Professional		$136.44	$220.84	$487.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.84 / $466.09 / $1,012.99	Professional		$202.84	$466.09	$1,012.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.42 / $687.63 / $1,109.11	Facility		$588.42	$687.63	$1,109.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $460.15 / $793.64	Professional		$213.98	$460.15	$793.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.24 / $222.82 / $435.50	Facility		$132.24	$222.82	$435.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $323.27 / $1,778.00	Facility		$141.41	$323.27	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.85 / $668.36 / $1,118.00	Professional		$240.85	$668.36	$1,118.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $274.95 / $501.39	Professional		$85.00	$274.95	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.24 / $222.82 / $435.50	Facility		$132.24	$222.82	$435.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.37 / $476.47 / $752.09	Professional		$307.37	$476.47	$752.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $624.40 / $624.40 / $624.40	Facility		$624.40	$624.40	$624.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.91 / $939.96 / $1,651.20	Professional		$201.91	$939.96	$1,651.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.10 / $637.70 / $1,081.27	Professional		$524.10	$637.70	$1,081.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $225.21 / $656.31 / $999.40	Professional		$225.21	$656.31	$999.40