Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.55 / $564.95 / $6,461.00	Facility		$230.55	$564.95	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $241.31 / $764.81	Professional		$200.03	$241.31	$764.81
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 $269.85 / $646.14 / $1,329.09	Professional		$269.85	$646.14	$1,329.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.31 / $859.27 / $1,385.98	Facility		$735.31	$859.27	$1,385.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.27 / $629.08 / $1,001.39	Professional		$318.27	$629.08	$1,001.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $230.55 / $303.85 / $561.09	Facility		$230.55	$303.85	$561.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.18 / $475.35 / $5,261.00	Facility		$235.18	$475.35	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $690.25 / $1,584.56	Professional		$269.23	$690.25	$1,584.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $333.72 / $656.89	Professional		$137.06	$333.72	$656.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $225.46 / $303.85 / $561.09	Facility		$225.46	$303.85	$561.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.23 / $654.70 / $933.09	Professional		$478.23	$654.70	$933.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,001.52 / $1,001.52 / $1,001.52	Facility		$1,001.52	$1,001.52	$1,001.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $328.06 / $1,175.67 / $2,065.76	Professional		$328.06	$1,175.67	$2,065.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $589.62 / $1,149.23 / $1,510.13	Professional		$589.62	$1,149.23	$1,510.13
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 $261.64 / $690.32 / $1,045.36	Professional		$261.64	$690.32	$1,045.36