Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.89 / $467.75 / $3,119.00	Facility		$187.89	$467.75	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $200.78 / $606.03	Professional		$162.59	$200.78	$606.03
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 $217.42 / $529.64 / $1,084.27	Professional		$217.42	$529.64	$1,084.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.96 / $713.95 / $1,151.58	Facility		$610.96	$713.95	$1,151.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $512.26 / $815.47	Professional		$258.74	$512.26	$815.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.15 / $253.60 / $446.96	Facility		$184.15	$253.60	$446.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.17 / $337.14 / $8,384.00	Facility		$188.17	$337.14	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.01 / $497.00 / $1,112.40	Professional		$214.01	$497.00	$1,112.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $273.62 / $467.30	Professional		$99.56	$273.62	$467.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.89 / $253.60 / $446.96	Facility		$187.89	$253.60	$446.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.97 / $542.69 / $773.45	Professional		$389.97	$542.69	$773.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $815.92 / $815.92 / $815.92	Facility		$815.92	$815.92	$815.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $805.65 / $2,741.00	Professional		$267.14	$805.65	$2,741.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $428.14 / $428.14 / $581.69	Professional		$428.14	$428.14	$581.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $461.70 / $935.81 / $1,254.34	Professional		$461.70	$935.81	$1,254.34
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 $207.89 / $550.10 / $868.09	Professional		$207.89	$550.10	$868.09