Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.90 / $683.22 / $8,942.21	Facility		$203.90	$683.22	$8,942.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $214.87 / $714.82	Professional		$171.38	$214.87	$714.82
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 $233.59 / $567.69 / $1,174.72	Professional		$233.59	$567.69	$1,174.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.92 / $767.66 / $1,238.21	Facility		$656.92	$767.66	$1,238.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.12 / $556.74 / $860.36	Professional		$281.12	$556.74	$860.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $203.90 / $272.02 / $481.45	Facility		$203.90	$272.02	$481.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.61 / $366.32 / $8,129.86	Facility		$215.61	$366.32	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.25 / $534.92 / $1,192.34	Professional		$230.25	$534.92	$1,192.34
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 $203.90 / $272.02 / $481.45	Facility		$203.90	$272.02	$481.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $421.65 / $585.29 / $834.16	Professional		$421.65	$585.29	$834.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $886.28 / $886.28 / $886.28	Facility		$886.28	$886.28	$886.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $290.33 / $874.65 / $2,108.00	Professional		$290.33	$874.65	$2,108.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $500.12 / $1,017.08 / $1,348.48	Professional		$500.12	$1,017.08	$1,348.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $6,477.00 / $8,384.00	Facility		$3,193.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.25 / $535.04 / $930.48	Professional		$230.25	$535.04	$930.48