Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $367.72 / $14,482.00	Facility		$164.12	$367.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $177.02 / $607.73	Professional		$159.18	$177.02	$607.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $401.92 / $1,004.82	Professional		$173.87	$401.92	$1,004.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $541.26 / $830.30	Facility		$463.18	$541.26	$830.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.50 / $691.58 / $785.89	Professional		$273.50	$691.58	$785.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $245.15 / $376.66	Facility		$164.12	$245.15	$376.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $297.99 / $1,756.00	Facility		$164.12	$297.99	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $353.26 / $1,665.00	Professional		$202.80	$353.26	$1,665.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $165.51 / $388.96	Professional		$97.52	$165.51	$388.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $244.54 / $376.66	Facility		$164.12	$244.54	$376.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.24 / $422.14 / $630.16	Professional		$346.24	$422.14	$630.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,289.00 / $4,289.00 / $4,289.00	Facility		$4,289.00	$4,289.00	$4,289.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.43 / $860.85 / $1,665.00	Professional		$347.43	$860.85	$1,665.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $547.55 / $979.09 / $1,035.55	Professional		$547.55	$979.09	$1,035.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $354.18 / $774.77	Professional		$199.70	$354.18	$774.77