Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.69 / $486.56 / $3,452.68	Facility		$208.69	$486.56	$3,452.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $226.22 / $867.16	Professional		$174.63	$226.22	$867.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.61 / $575.03 / $1,234.00	Professional		$248.61	$575.03	$1,234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.58 / $728.70 / $1,175.35	Facility		$623.58	$728.70	$1,175.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.08 / $574.30 / $898.64	Professional		$311.08	$574.30	$898.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.34 / $260.14 / $656.55	Facility		$202.34	$260.14	$656.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.95 / $447.29 / $4,130.00	Facility		$209.95	$447.29	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $722.38 / $2,491.00	Professional		$255.15	$722.38	$2,491.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $426.62 / $632.35	Professional		$85.00	$426.62	$632.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $202.34 / $260.14 / $656.55	Facility		$202.34	$260.14	$656.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $435.99 / $607.20 / $811.67	Professional		$435.99	$607.20	$811.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,018.15 / $1,018.15 / $1,018.15	Facility		$1,018.15	$1,018.15	$1,018.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $296.57 / $1,006.65 / $4,151.77	Professional		$296.57	$1,006.65	$4,151.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $250.60 / $250.60 / $313.64	Professional		$250.60	$250.60	$313.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $1,233.84 / $1,535.60	Professional		$230.74	$1,233.84	$1,535.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.54 / $699.72 / $986.02	Professional		$233.54	$699.72	$986.02