Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.59 / $480.40 / $1,894.00	Facility		$208.59	$480.40	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.59 / $431.33 / $1,317.78	Professional		$208.59	$431.33	$1,317.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.42 / $510.84 / $1,278.54	Professional		$280.42	$510.84	$1,278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.97 / $1,480.56 / $2,271.21	Facility		$1,266.97	$1,480.56	$2,271.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.02 / $899.97 / $2,099.31	Professional		$427.02	$899.97	$2,099.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.59 / $431.33 / $776.39	Facility		$208.59	$431.33	$776.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.51 / $468.92 / $2,951.70	Facility		$213.51	$468.92	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.04 / $935.94 / $3,508.96	Professional		$464.04	$935.94	$3,508.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $377.71 / $984.15	Professional		$31.53	$377.71	$984.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.59 / $431.33 / $776.39	Facility		$208.59	$431.33	$776.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $556.01 / $958.09 / $1,615.48	Professional		$556.01	$958.09	$1,615.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $1,104.52	Facility		$982.04	$982.04	$1,104.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $538.86 / $1,855.29 / $3,508.96	Professional		$538.86	$1,855.29	$3,508.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $776.54 / $1,338.38 / $2,766.31	Professional		$776.54	$1,338.38	$2,766.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.20 / $784.74 / $1,935.99	Professional		$440.20	$784.74	$1,935.99