Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $449.33 / $1,894.00	Facility		$149.00	$449.33	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $203.69 / $831.75	Professional		$146.97	$203.69	$831.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $409.66 / $870.42	Professional		$207.73	$409.66	$870.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.73 / $684.47 / $1,104.03	Facility		$585.73	$684.47	$1,104.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $467.26 / $771.43	Professional		$260.14	$467.26	$771.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $255.62 / $447.93	Facility		$149.00	$255.62	$447.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $357.84 / $5,261.00	Facility		$177.60	$357.84	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.97 / $648.70 / $1,386.97	Professional		$244.97	$648.70	$1,386.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $289.71 / $471.74	Professional		$98.47	$289.71	$471.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $240.77 / $447.93	Facility		$149.00	$240.77	$447.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $518.24 / $738.60	Professional		$357.54	$518.24	$738.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,144.44 / $1,144.44 / $1,144.44	Facility		$1,144.44	$1,144.44	$1,144.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.47 / $933.39 / $1,634.32	Professional		$226.47	$933.39	$1,634.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $611.07 / $912.73 / $1,245.61	Professional		$611.07	$912.73	$1,245.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $573.96 / $988.72	Professional		$227.86	$573.96	$988.72