Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $521.64 / $1,894.00	Facility		$225.68	$521.64	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.81 / $252.84 / $829.34	Professional		$188.81	$252.84	$829.34
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 $268.11 / $621.08 / $1,347.77	Professional		$268.11	$621.08	$1,347.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $667.73 / $780.30 / $1,258.58	Facility		$667.73	$780.30	$1,258.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.70 / $613.13 / $970.41	Professional		$342.70	$613.13	$970.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.30 / $278.99 / $824.57	Facility		$219.30	$278.99	$824.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $489.99 / $1,789.00	Facility		$225.68	$489.99	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $611.25 / $1,222.90	Professional		$279.24	$611.25	$1,222.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $426.62 / $709.79	Professional		$85.00	$426.62	$709.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.30 / $278.99 / $824.57	Facility		$219.30	$278.99	$824.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.68 / $656.37 / $869.01	Professional		$470.68	$656.37	$869.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,719.90 / $1,719.90 / $1,719.90	Facility		$1,719.90	$1,719.90	$1,719.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $319.74 / $1,029.00 / $3,100.00	Professional		$319.74	$1,029.00	$3,100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $270.45 / $270.45 / $335.28	Professional		$270.45	$270.45	$335.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $233.52 / $1,330.22 / $1,647.32	Professional		$233.52	$1,330.22	$1,647.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,507.00 / $2,202.90	Facility		$1,008.00	$1,507.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $727.03 / $1,071.52	Professional		$281.93	$727.03	$1,071.52