Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $324.29 / $1,894.00	Facility		$147.72	$324.29	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $228.56 / $842.57	Professional		$147.72	$228.56	$842.57
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 $198.61 / $361.79 / $909.02	Professional		$198.61	$361.79	$909.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.20 / $753.97 / $1,156.60	Facility		$645.20	$753.97	$1,156.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $605.34 / $1,075.98	Professional		$258.02	$605.34	$1,075.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $231.84 / $472.08	Facility		$147.72	$231.84	$472.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.84 / $282.57 / $2,951.70	Facility		$152.84	$282.57	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $610.50 / $1,798.72	Professional		$282.01	$610.50	$1,798.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $236.33 / $505.03	Professional		$116.85	$236.33	$505.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $231.84 / $472.08	Facility		$147.72	$231.84	$472.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $536.30 / $802.68	Professional		$358.47	$536.30	$802.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $910.90 / $910.90 / $982.04	Facility		$910.90	$910.90	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $366.48 / $1,029.15 / $1,798.72	Professional		$366.48	$1,029.15	$1,798.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $554.73 / $554.73 / $850.52	Professional		$554.73	$554.73	$850.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $563.70 / $910.26 / $1,417.79	Professional		$563.70	$910.26	$1,417.79
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 $264.05 / $486.00 / $1,048.19	Professional		$264.05	$486.00	$1,048.19