Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.74 / $398.30 / $14,482.00	Facility		$247.74	$398.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $288.08 / $875.34	Professional		$172.53	$288.08	$875.34
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 $191.29 / $337.16 / $769.69	Professional		$191.29	$337.16	$769.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.58 / $824.52 / $1,329.93	Facility		$705.58	$824.52	$1,329.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.99 / $521.41 / $949.64	Professional		$215.99	$521.41	$949.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $159.37 / $283.81 / $470.53	Facility		$159.37	$283.81	$470.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.53 / $366.59 / $1,789.00	Facility		$172.53	$366.59	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $544.91 / $2,267.73	Professional		$251.50	$544.91	$2,267.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $160.23 / $445.94	Professional		$26.31	$160.23	$445.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $159.37 / $283.81 / $470.53	Facility		$159.37	$283.81	$470.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $533.33 / $827.58	Professional		$320.45	$533.33	$827.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,162.44 / $1,162.44 / $1,162.44	Facility		$1,162.44	$1,162.44	$1,162.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $1,117.22 / $2,267.73	Professional		$279.20	$1,117.22	$2,267.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $703.98 / $1,609.29 / $2,552.59	Professional		$703.98	$1,609.29	$2,552.59
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 $259.48 / $467.96 / $1,080.33	Professional		$259.48	$467.96	$1,080.33