Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $654.75 / $8,459.21	Facility		$194.94	$654.75	$8,459.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $335.86 / $1,255.57	Professional		$187.75	$335.86	$1,255.57
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 $292.50 / $684.02 / $1,606.63	Professional		$292.50	$684.02	$1,606.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.25 / $1,083.57 / $1,747.76	Facility		$927.25	$1,083.57	$1,747.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.56 / $601.45 / $1,181.05	Professional		$326.56	$601.45	$1,181.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $351.05 / $673.19	Facility		$194.94	$351.05	$673.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $451.15 / $8,129.86	Facility		$209.00	$451.15	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $990.20 / $2,164.00	Professional		$382.28	$990.20	$2,164.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $432.35 / $821.10	Professional		$85.00	$432.35	$821.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $351.05 / $673.19	Facility		$194.94	$351.05	$673.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $672.10 / $1,162.42	Professional		$419.82	$672.10	$1,162.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $849.04 / $849.04 / $849.04	Facility		$849.04	$849.04	$849.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $1,478.16 / $2,590.32	Professional		$303.62	$1,478.16	$2,590.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $620.73 / $966.90 / $1,898.65	Professional		$620.73	$966.90	$1,898.65
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 $375.44 / $966.28 / $1,434.98	Professional		$375.44	$966.28	$1,434.98