Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $217.35 / $1,894.00	Facility		$87.37	$217.35	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $215.88 / $663.78	Professional		$87.37	$215.88	$663.78
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 $123.36 / $213.97 / $541.85	Professional		$123.36	$213.97	$541.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.87 / $725.54 / $1,112.99	Facility		$620.87	$725.54	$1,112.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $418.59 / $1,024.08	Professional		$169.54	$418.59	$1,024.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $206.05 / $391.23	Facility		$87.37	$206.05	$391.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $224.00 / $2,951.70	Facility		$91.79	$224.00	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.42 / $419.14 / $2,489.00	Professional		$221.42	$419.14	$2,489.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $236.55 / $551.40	Professional		$132.51	$236.55	$551.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $206.05 / $391.23	Facility		$87.37	$206.05	$391.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.61 / $400.78 / $752.09	Professional		$216.61	$400.78	$752.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $663.60 / $663.60 / $982.04	Facility		$663.60	$663.60	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $212.82 / $842.47 / $2,489.00	Professional		$212.82	$842.47	$2,489.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $319.07 / $551.59 / $1,349.47	Professional		$319.07	$551.59	$1,349.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.42 / $3,068.00 / $4,295.00	Facility		$2,276.42	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $435.91 / $949.35	Professional		$220.87	$435.91	$949.35