Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $341.15 / $14,482.00	Facility		$155.63	$341.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $155.63 / $243.15	Professional		$148.59	$155.63	$243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $455.85 / $1,214.54	Professional		$150.18	$455.85	$1,214.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.64 / $504.40 / $813.58	Facility		$431.64	$504.40	$813.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.38 / $647.32 / $735.59	Professional		$315.38	$647.32	$735.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $194.07 / $325.98	Facility		$155.63	$194.07	$325.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.78 / $1,124.00 / $2,043.20	Facility		$166.78	$1,124.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $497.97 / $1,017.40	Professional		$186.22	$497.97	$1,017.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $205.56 / $481.26	Professional		$85.00	$205.56	$481.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $194.07 / $325.98	Facility		$155.63	$194.07	$325.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $332.15 / $511.00 / $675.91	Professional		$332.15	$511.00	$675.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $773.56 / $773.56 / $773.56	Facility		$773.56	$773.56	$773.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.22 / $856.95 / $1,257.76	Professional		$325.22	$856.95	$1,257.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $594.88 / $594.88 / $594.88	Professional		$594.88	$594.88	$594.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $969.31 / $969.31 / $969.31	Professional		$969.31	$969.31	$969.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $575.19 / $1,017.40	Professional		$196.97	$575.19	$1,017.40