Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.97 / $573.07 / $5,367.30	Facility		$169.97	$573.07	$5,367.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $308.17 / $1,465.00	Professional		$163.61	$308.17	$1,465.00
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 $256.14 / $603.01 / $1,443.95	Professional		$256.14	$603.01	$1,443.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.34 / $976.16 / $1,574.51	Facility		$835.34	$976.16	$1,574.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.38 / $526.85 / $1,061.75	Professional		$259.38	$526.85	$1,061.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.97 / $308.04 / $602.09	Facility		$169.97	$308.04	$602.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.92 / $430.50 / $8,129.86	Facility		$182.92	$430.50	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.20 / $895.94 / $2,164.00	Professional		$333.20	$895.94	$2,164.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $384.07 / $752.08	Professional		$85.00	$384.07	$752.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.97 / $308.04 / $602.09	Facility		$169.97	$308.04	$602.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $367.15 / $600.60 / $1,038.76	Professional		$367.15	$600.60	$1,038.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $742.48 / $742.48 / $742.48	Facility		$742.48	$742.48	$742.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $1,328.85 / $2,324.32	Professional		$265.95	$1,328.85	$2,324.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $582.65 / $846.97 / $1,706.86	Professional		$582.65	$846.97	$1,706.86
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 $321.68 / $859.21 / $1,272.63	Professional		$321.68	$859.21	$1,272.63