Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.84 / $747.29 / $2,452.64	Facility		$96.84	$747.29	$2,452.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $191.15 / $782.59	Professional		$80.44	$191.15	$782.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $377.91 / $1,854.68	Professional		$101.17	$377.91	$1,854.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,891.45 / $2,210.31 / $3,390.67	Facility		$1,891.45	$2,210.31	$3,390.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $327.02 / $1,983.45	Professional		$131.03	$327.02	$1,983.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $164.00 / $859.75	Facility		$83.53	$164.00	$859.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $197.96 / $1,399.48	Facility		$83.66	$197.96	$1,399.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.52 / $1,244.61 / $4,646.85	Professional		$277.52	$1,244.61	$4,646.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $611.63 / $1,387.62	Professional		$115.35	$611.63	$1,387.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $174.31 / $859.75	Facility		$83.53	$174.31	$859.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.84 / $382.03 / $2,025.87	Professional		$195.84	$382.03	$2,025.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $411.75 / $411.75	Facility		$411.75	$411.75	$411.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.66 / $2,544.78 / $4,646.85	Professional		$246.66	$2,544.78	$4,646.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $112.31 / $893.30	Professional		$112.31	$112.31	$893.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $461.04 / $3,525.41	Professional		$227.50	$461.04	$3,525.41
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 $246.17 / $846.04 / $1,828.31	Professional		$246.17	$846.04	$1,828.31