Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.17 / $582.16 / $14,482.00	Facility		$311.17	$582.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $311.17 / $703.59	Professional		$195.19	$311.17	$703.59
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 $240.27 / $409.63 / $1,088.04	Professional		$240.27	$409.63	$1,088.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.80 / $843.48 / $1,360.50	Facility		$721.80	$843.48	$1,360.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $564.91 / $1,203.90	Professional		$256.61	$564.91	$1,203.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $325.47 / $491.81	Facility		$228.40	$325.47	$491.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $418.85 / $4,130.00	Facility		$228.40	$418.85	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.57 / $603.27 / $2,025.28	Professional		$308.57	$603.27	$2,025.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $249.87 / $591.77	Professional		$154.35	$249.87	$591.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $311.17 / $550.40	Facility		$228.40	$311.17	$550.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $401.05 / $646.35 / $951.63	Professional		$401.05	$646.35	$951.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,690.08 / $1,690.08 / $1,690.08	Facility		$1,690.08	$1,690.08	$1,690.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $352.49 / $1,156.14 / $2,025.28	Professional		$352.49	$1,156.14	$2,025.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $783.61 / $2,006.05 / $2,641.43	Professional		$783.61	$2,006.05	$2,641.43
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 $282.41 / $545.72 / $1,195.81	Professional		$282.41	$545.72	$1,195.81