Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $196.25 / $14,482.00	Facility		$79.97	$196.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $155.04 / $338.10	Professional		$79.97	$155.04	$338.10
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 $139.28 / $296.14 / $705.60	Professional		$139.28	$296.14	$705.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.60 / $568.64 / $872.30	Facility		$486.60	$568.64	$872.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $227.70 / $502.39	Professional		$103.53	$227.70	$502.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $198.65 / $493.14	Facility		$94.38	$198.65	$493.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $260.97 / $1,513.00	Facility		$102.11	$260.97	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $356.94 / $786.70	Professional		$160.55	$356.94	$786.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $190.84 / $437.84	Professional		$116.44	$190.84	$437.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $198.65 / $493.14	Facility		$94.38	$198.65	$493.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $324.77 / $583.09	Professional		$211.96	$324.77	$583.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $245.96 / $432.95	Facility		$184.03	$245.96	$432.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $478.00 / $1,348.48	Professional		$121.72	$478.00	$1,348.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $217.87 / $406.25 / $781.85	Professional		$217.87	$406.25	$781.85
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 $129.35 / $262.52 / $668.69	Professional		$129.35	$262.52	$668.69