Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.83 / $504.34 / $1,894.00	Facility		$225.83	$504.34	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $413.86 / $1,283.00	Professional		$225.83	$413.86	$1,283.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.60 / $553.04 / $1,397.27	Professional		$303.60	$553.04	$1,397.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.76 / $1,376.31 / $2,111.30	Facility		$1,177.76	$1,376.31	$2,111.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $949.72 / $1,960.48	Professional		$433.23	$949.72	$1,960.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $225.83 / $413.86 / $744.95	Facility		$225.83	$413.86	$744.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.07 / $481.92 / $2,951.70	Facility		$238.07	$481.92	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $474.77 / $941.76 / $3,562.26	Professional		$474.77	$941.76	$3,562.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $319.03 / $850.82	Professional		$31.53	$319.03	$850.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $225.83 / $413.86 / $744.95	Facility		$225.83	$413.86	$744.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $560.58 / $931.68 / $1,454.71	Professional		$560.58	$931.68	$1,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $1,428.50	Facility		$982.04	$982.04	$1,428.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $572.55 / $1,830.48 / $3,562.26	Professional		$572.55	$1,830.48	$3,562.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $823.30 / $1,422.14 / $2,583.35	Professional		$823.30	$1,422.14	$2,583.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.39 / $816.92 / $1,935.76	Professional		$464.39	$816.92	$1,935.76