Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.53 / $524.30 / $14,482.00	Facility		$135.53	$524.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $300.58 / $631.28	Professional		$135.53	$300.58	$631.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $347.48 / $1,040.31	Professional		$168.72	$347.48	$1,040.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.73 / $971.95 / $1,291.80	Facility		$831.73	$971.95	$1,291.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $573.29 / $1,382.40	Professional		$223.54	$573.29	$1,382.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $304.95 / $603.23	Facility		$140.61	$304.95	$603.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.90 / $338.58 / $1,449.00	Facility		$156.90	$338.58	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.19 / $1,163.94 / $2,343.06	Professional		$381.19	$1,163.94	$2,343.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $286.26 / $707.61	Professional		$173.09	$286.26	$707.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $304.95 / $626.08	Facility		$140.61	$304.95	$626.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.39 / $594.52 / $1,032.26	Professional		$324.39	$594.52	$1,032.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $368.72 / $828.85 / $1,300.00	Facility		$368.72	$828.85	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.11 / $1,163.94 / $2,343.06	Professional		$326.11	$1,163.94	$2,343.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.79 / $925.97 / $1,821.65	Professional		$616.79	$925.97	$1,821.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $360.25 / $898.93 / $1,649.09	Professional		$360.25	$898.93	$1,649.09