Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.89 / $1,006.63 / $14,482.00	Facility		$304.89	$1,006.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $312.35 / $830.49	Professional		$247.31	$312.35	$830.49
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 $248.01 / $462.79 / $963.90	Professional		$248.01	$462.79	$963.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $764.15 / $892.97 / $1,369.84	Facility		$764.15	$892.97	$1,369.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $560.16 / $803.09	Professional		$256.88	$560.16	$803.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $255.80 / $342.24 / $753.09	Facility		$255.80	$342.24	$753.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.31 / $724.38 / $1,789.00	Facility		$287.31	$724.38	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $401.02 / $1,005.15	Professional		$241.26	$401.02	$1,005.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $238.84 / $522.97	Professional		$151.40	$238.84	$522.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $255.80 / $342.24 / $753.09	Facility		$255.80	$342.24	$753.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $485.40 / $641.91 / $889.90	Professional		$485.40	$641.91	$889.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $531.54 / $664.43 / $1,224.66	Facility		$531.54	$664.43	$1,224.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.55 / $1,195.97 / $1,841.31	Professional		$329.55	$1,195.97	$1,841.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $978.79 / $978.79	Professional		$441.95	$978.79	$978.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $232.66 / $401.02 / $976.28	Professional		$232.66	$401.02	$976.28