Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $253.11 / $1,894.00	Facility		$97.57	$253.11	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $219.02 / $528.42	Professional		$97.57	$219.02	$528.42
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 $138.22 / $238.96 / $598.47	Professional		$138.22	$238.96	$598.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.92 / $863.48 / $1,324.61	Facility		$738.92	$863.48	$1,324.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $472.78 / $1,220.65	Professional		$194.68	$472.78	$1,220.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $243.35 / $449.81	Facility		$102.19	$243.35	$449.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $275.01 / $3,034.00	Facility		$103.38	$275.01	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.51 / $502.44 / $1,863.73	Professional		$257.51	$502.44	$1,863.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $268.54 / $596.71	Professional		$151.05	$268.54	$596.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $243.35 / $449.81	Facility		$102.19	$243.35	$449.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $427.14 / $889.24	Professional		$243.30	$427.14	$889.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $482.93 / $482.93 / $982.04	Facility		$482.93	$482.93	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.38 / $1,025.65 / $2,027.04	Professional		$240.38	$1,025.65	$2,027.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $427.08 / $799.99 / $1,608.50	Professional		$427.08	$799.99	$1,608.50
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 $260.44 / $432.16 / $1,058.64	Professional		$260.44	$432.16	$1,058.64