Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $585.82 / $5,824.64	Facility		$131.44	$585.82	$5,824.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $189.21 / $820.46	Professional		$131.44	$189.21	$820.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $398.48 / $850.51	Professional		$194.58	$398.48	$850.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $643.40 / $986.99	Facility		$550.58	$643.40	$986.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $298.60 / $563.36	Professional		$159.50	$298.60	$563.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $246.26 / $568.29	Facility		$153.78	$246.26	$568.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $394.10 / $5,169.00	Facility		$165.27	$394.10	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $387.18 / $1,175.20	Professional		$193.71	$387.18	$1,175.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $186.96 / $419.70	Professional		$102.76	$186.96	$419.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $246.26 / $568.29	Facility		$153.78	$246.26	$568.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.96 / $488.60 / $671.80	Professional		$343.96	$488.60	$671.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $308.25 / $411.97 / $1,111.92	Facility		$308.25	$411.97	$1,111.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.59 / $749.30 / $1,533.68	Professional		$196.59	$749.30	$1,533.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $308.69 / $675.23 / $886.96	Professional		$308.69	$675.23	$886.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.43 / $329.59 / $769.82	Professional		$189.43	$329.59	$769.82