Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.59 / $284.95 / $2,824.25	Facility		$87.59	$284.95	$2,824.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $211.70 / $811.75	Professional		$87.59	$211.70	$811.75
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 $152.54 / $355.56 / $850.18	Professional		$152.54	$355.56	$850.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.35 / $795.04 / $1,219.60	Facility		$680.35	$795.04	$1,219.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $270.70 / $697.90	Professional		$114.81	$270.70	$697.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $251.98 / $660.15	Facility		$102.48	$251.98	$660.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $294.89 / $3,593.00	Facility		$104.20	$294.89	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $346.00 / $947.13	Professional		$171.17	$346.00	$947.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $161.53 / $453.07	Professional		$26.80	$161.53	$453.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $251.98 / $660.15	Facility		$102.48	$251.98	$660.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.23 / $428.34 / $797.29	Professional		$238.23	$428.34	$797.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $203.40 / $271.85 / $744.24	Facility		$203.40	$271.85	$744.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $494.90 / $1,853.36	Professional		$192.82	$494.90	$1,853.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $450.17 / $1,082.44	Professional		$186.87	$450.17	$1,082.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $394.05 / $842.87	Professional		$181.47	$394.05	$842.87