Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $331.18 / $1,894.00	Facility		$146.94	$331.18	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $307.52 / $938.18	Professional		$146.94	$307.52	$938.18
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 $201.39 / $359.86 / $906.59	Professional		$201.39	$359.86	$906.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.70 / $1,036.18 / $1,589.53	Facility		$886.70	$1,036.18	$1,589.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $635.70 / $1,469.01	Professional		$294.39	$635.70	$1,469.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $307.52 / $553.54	Facility		$146.94	$307.52	$553.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $333.33 / $2,951.70	Facility		$147.19	$333.33	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.23 / $752.44 / $2,444.16	Professional		$365.23	$752.44	$2,444.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $241.49 / $667.89	Professional		$31.53	$241.49	$667.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $307.52 / $553.54	Facility		$146.94	$307.52	$553.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $367.62 / $669.32 / $1,087.09	Professional		$367.62	$669.32	$1,087.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $936.55 / $936.55 / $982.04	Facility		$936.55	$936.55	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.42 / $1,237.61 / $2,444.16	Professional		$375.42	$1,237.61	$2,444.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $553.22 / $553.22 / $1,175.95	Professional		$553.22	$553.22	$1,175.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $573.91 / $932.50 / $1,935.72	Professional		$573.91	$932.50	$1,935.72
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 $365.23 / $656.42 / $1,538.71	Professional		$365.23	$656.42	$1,538.71