Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $430.34 / $3,119.00	Facility		$122.37	$430.34	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $191.19 / $522.03	Professional		$119.91	$191.19	$522.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $425.77 / $980.82	Professional		$200.43	$425.77	$980.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.01 / $670.78 / $1,081.94	Facility		$574.01	$670.78	$1,081.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.11 / $428.40 / $702.44	Professional		$234.11	$428.40	$702.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $200.61 / $411.21	Facility		$122.37	$200.61	$411.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $280.60 / $5,261.00	Facility		$122.37	$280.60	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.22 / $625.90 / $1,315.70	Professional		$230.22	$625.90	$1,315.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $287.81 / $441.41	Professional		$97.60	$287.81	$441.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.65 / $200.61 / $411.21	Facility		$115.65	$200.61	$411.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.22 / $462.28 / $701.50	Professional		$298.22	$462.28	$701.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $926.52 / $926.52 / $926.52	Facility		$926.52	$926.52	$926.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $904.82 / $1,570.32	Professional		$184.26	$904.82	$1,570.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $422.63 / $742.59 / $1,207.47	Professional		$422.63	$742.59	$1,207.47
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 $226.94 / $608.69 / $966.31	Professional		$226.94	$608.69	$966.31