Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.31 / $445.95 / $14,482.00	Facility		$324.31	$445.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $456.37 / $1,192.29	Professional		$251.18	$456.37	$1,192.29
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 $328.00 / $514.44 / $1,873.73	Professional		$328.00	$514.44	$1,873.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.40 / $847.69 / $1,367.29	Facility		$725.40	$847.69	$1,367.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $574.45 / $1,319.74	Professional		$309.66	$574.45	$1,319.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $237.84 / $394.88 / $945.51	Facility		$237.84	$394.88	$945.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.80 / $668.07 / $1,789.00	Facility		$246.80	$668.07	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $508.01 / $1,115.83 / $2,991.20	Professional		$508.01	$1,115.83	$2,991.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $186.55 / $503.63	Professional		$28.95	$186.55	$503.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $237.84 / $406.20 / $1,015.83	Facility		$237.84	$406.20	$1,015.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.30 / $630.25 / $911.94	Professional		$417.30	$630.25	$911.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,774.57 / $1,774.57 / $1,774.57	Facility		$1,774.57	$1,774.57	$1,774.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $448.37 / $2,359.15 / $2,991.20	Professional		$448.37	$2,359.15	$2,991.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.52 / $2,200.77 / $2,669.24	Professional		$1,449.52	$2,200.77	$2,669.24
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 $402.45 / $1,020.24 / $2,216.76	Professional		$402.45	$1,020.24	$2,216.76