Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.26 / $441.45 / $14,482.00	Facility		$317.26	$441.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $317.26 / $847.59	Professional		$196.13	$317.26	$847.59
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 $211.93 / $409.62 / $1,098.35	Professional		$211.93	$409.62	$1,098.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.29 / $742.39 / $1,197.44	Facility		$635.29	$742.39	$1,197.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.45 / $508.11 / $1,093.64	Professional		$243.45	$508.11	$1,093.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $235.44 / $317.26 / $435.03	Facility		$235.44	$317.26	$435.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.44 / $409.50 / $1,789.00	Facility		$235.44	$409.50	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.69 / $513.66 / $1,793.84	Professional		$235.69	$513.66	$1,793.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $199.41 / $496.00	Professional		$117.66	$199.41	$496.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $229.96 / $317.26 / $479.07	Facility		$229.96	$317.26	$479.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $424.45 / $578.98 / $833.53	Professional		$424.45	$578.98	$833.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,507.62 / $1,507.62 / $1,507.62	Facility		$1,507.62	$1,507.62	$1,507.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $1,039.59 / $1,793.84	Professional		$379.89	$1,039.59	$1,793.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $971.21 / $2,059.25 / $2,327.87	Professional		$971.21	$2,059.25	$2,327.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $237.42 / $466.96 / $1,022.31	Professional		$237.42	$466.96	$1,022.31