Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.32 / $640.24 / $14,482.00	Facility		$331.32	$640.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.59 / $196.83 / $523.11	Professional		$170.59	$196.83	$523.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $331.32 / $1,122.00	Professional		$177.79	$331.32	$1,122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.76 / $524.41 / $845.85	Facility		$448.76	$524.41	$845.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $494.62 / $714.40	Professional		$274.10	$494.62	$714.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.63 / $242.80 / $343.27	Facility		$175.63	$242.80	$343.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.59 / $2,553.00 / $7,700.00	Facility		$191.59	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.26 / $405.28 / $1,148.03	Professional		$213.26	$405.28	$1,148.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $236.68 / $429.04	Professional		$85.00	$236.68	$429.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.63 / $242.80 / $343.27	Facility		$175.63	$242.80	$343.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.45 / $497.26 / $685.45	Professional		$359.45	$497.26	$685.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $837.16 / $837.16 / $837.16	Facility		$837.16	$837.16	$837.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.49 / $883.05 / $1,148.03	Professional		$265.49	$883.05	$1,148.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $579.42 / $579.42 / $579.42	Professional		$579.42	$579.42	$579.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $664.66 / $1,171.93 / $1,171.93	Professional		$664.66	$1,171.93	$1,171.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.93 / $367.35 / $927.75	Professional		$211.93	$367.35	$927.75