Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $367.81 / $1,894.00	Facility		$163.57	$367.81	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $208.10 / $721.25	Professional		$163.57	$208.10	$721.25
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 $202.82 / $400.57 / $1,010.92	Professional		$202.82	$400.57	$1,010.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.09 / $648.66 / $995.07	Facility		$555.09	$648.66	$995.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $615.41 / $933.33	Professional		$285.08	$615.41	$933.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $232.94 / $406.53	Facility		$157.57	$232.94	$406.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $253.39 / $2,951.70	Facility		$163.47	$253.39	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.05 / $522.00 / $1,600.33	Professional		$246.05	$522.00	$1,600.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $230.02 / $446.38	Professional		$102.76	$230.02	$446.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.43 / $232.94 / $406.53	Facility		$161.43	$232.94	$406.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $392.24 / $504.50 / $741.06	Professional		$392.24	$504.50	$741.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $1,248.48	Facility		$982.04	$982.04	$1,248.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.69 / $892.71 / $1,600.33	Professional		$394.69	$892.71	$1,600.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $600.42 / $1,032.40 / $1,229.84	Professional		$600.42	$1,032.40	$1,229.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,088.30 / $4,985.00	Facility		$1,957.00	$3,088.30	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.97 / $412.94 / $1,123.18	Professional		$234.97	$412.94	$1,123.18