Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $296.52 / $1,894.00	Facility		$131.83	$296.52	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $296.52 / $820.90	Professional		$131.83	$296.52	$820.90
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 $185.82 / $322.86 / $825.41	Professional		$185.82	$322.86	$825.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.55 / $984.58 / $1,510.38	Facility		$842.55	$984.58	$1,510.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $594.14 / $1,392.46	Professional		$261.66	$594.14	$1,392.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $289.02 / $533.74	Facility		$131.83	$289.02	$533.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $327.14 / $2,951.70	Facility		$135.86	$327.14	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.34 / $753.84 / $2,313.60	Professional		$338.34	$753.84	$2,313.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $234.64 / $623.23	Professional		$31.53	$234.64	$623.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $289.02 / $533.74	Facility		$131.83	$289.02	$533.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.91 / $597.35 / $1,033.14	Professional		$324.91	$597.35	$1,033.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $831.60 / $982.04	Facility		$831.60	$831.60	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $1,167.14 / $2,313.60	Professional		$334.02	$1,167.14	$2,313.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $525.70 / $829.65 / $1,834.88	Professional		$525.70	$829.65	$1,834.88
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 $316.14 / $582.70 / $1,355.96	Professional		$316.14	$582.70	$1,355.96