Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.78 / $493.47 / $5,851.96	Facility		$131.78	$493.47	$5,851.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $234.93 / $798.94	Professional		$133.59	$234.93	$798.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $322.72 / $815.92	Professional		$191.13	$322.72	$815.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.91 / $757.13 / $1,161.45	Facility		$647.91	$757.13	$1,161.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.82 / $557.72 / $1,075.89	Professional		$246.82	$557.72	$1,075.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.78 / $234.93 / $484.22	Facility		$131.78	$234.93	$484.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $283.20 / $8,793.34	Facility		$140.72	$283.20	$8,793.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $764.05 / $2,775.98	Professional		$295.00	$764.05	$2,775.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $236.55 / $515.75	Professional		$123.44	$236.55	$515.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.78 / $234.93 / $484.22	Facility		$131.78	$234.93	$484.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.77 / $516.96 / $807.18	Professional		$331.77	$516.96	$807.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,013.82 / $1,013.82 / $3,995.10	Facility		$1,013.82	$1,013.82	$3,995.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.23 / $1,029.06 / $2,775.98	Professional		$336.23	$1,029.06	$2,775.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $650.87 / $835.13 / $1,417.72	Professional		$650.87	$835.13	$1,417.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.56 / $551.13 / $1,082.67	Professional		$279.56	$551.13	$1,082.67