Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $501.59 / $1,894.00	Facility		$201.85	$501.59	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $201.85 / $657.36	Professional		$170.67	$201.85	$657.36
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 $231.80 / $565.73 / $1,163.45	Professional		$231.80	$565.73	$1,163.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.02 / $766.61 / $1,236.51	Facility		$656.02	$766.61	$1,236.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.94 / $551.17 / $874.18	Professional		$277.94	$551.17	$874.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $271.08 / $517.69	Facility		$201.85	$271.08	$517.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.23 / $406.35 / $8,129.86	Facility		$214.23	$406.35	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.89 / $532.58 / $1,188.22	Professional		$229.89	$532.58	$1,188.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $281.24 / $513.85	Professional		$115.39	$281.24	$513.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $271.08 / $517.69	Facility		$201.85	$271.08	$517.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.88 / $581.35 / $828.54	Professional		$417.88	$581.35	$828.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $877.12 / $877.12 / $877.12	Facility		$877.12	$877.12	$877.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $867.45 / $3,162.00	Professional		$287.43	$867.45	$3,162.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $506.79 / $1,006.85 / $1,345.66	Professional		$506.79	$1,006.85	$1,345.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.46 / $532.58 / $927.25	Professional		$223.46	$532.58	$927.25