Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.12 / $337.16 / $14,482.00	Facility		$245.12	$337.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $219.31 / $580.89	Professional		$152.99	$219.31	$580.89
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 $178.59 / $316.48 / $837.81	Professional		$178.59	$316.48	$837.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.08 / $638.14 / $1,029.29	Facility		$546.08	$638.14	$1,029.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $411.28 / $878.56	Professional		$189.83	$411.28	$878.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.82 / $245.12 / $391.58	Facility		$179.82	$245.12	$391.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.82 / $311.16 / $1,789.00	Facility		$179.82	$311.16	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $453.04 / $2,322.83	Professional		$201.48	$453.04	$2,322.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $169.66 / $414.76	Professional		$102.76	$169.66	$414.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $179.82 / $245.12 / $420.88	Facility		$179.82	$245.12	$420.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $479.59 / $690.44	Professional		$315.25	$479.59	$690.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,143.72 / $1,143.72 / $1,143.72	Facility		$1,143.72	$1,143.72	$1,143.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $872.19 / $2,322.83	Professional		$275.19	$872.19	$2,322.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $591.15 / $1,583.37 / $1,992.78	Professional		$591.15	$1,583.37	$1,992.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $391.52 / $860.99	Professional		$203.05	$391.52	$860.99