Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.76 / $567.74 / $14,482.00	Facility		$166.76	$567.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $176.40 / $484.60	Professional		$107.78	$176.40	$484.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,425.00 / $4,433.00	Facility		$1,139.00	$2,425.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.02 / $529.58 / $1,117.08	Professional		$208.02	$529.58	$1,117.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.37 / $720.27 / $1,104.92	Facility		$616.37	$720.27	$1,104.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.60 / $453.28 / $786.51	Professional		$233.60	$453.28	$786.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.74 / $236.09 / $311.92	Facility		$155.74	$236.09	$311.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $285.52 / $1,789.00	Facility		$160.72	$285.52	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $654.97 / $1,140.08	Professional		$223.92	$654.97	$1,140.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $383.61 / $548.29	Professional		$85.00	$383.61	$548.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.74 / $242.59 / $401.36	Facility		$155.74	$242.59	$401.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $350.08 / $521.24 / $781.32	Professional		$350.08	$521.24	$781.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $710.36 / $710.36 / $710.36	Facility		$710.36	$710.36	$710.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.72 / $739.60 / $1,722.00	Professional		$267.72	$739.60	$1,722.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $482.08 / $828.05 / $1,264.40	Professional		$482.08	$828.05	$1,264.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $224.81 / $619.30 / $922.95	Professional		$224.81	$619.30	$922.95