Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $526.15 / $3,652.56	Facility		$90.30	$526.15	$3,652.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $146.18 / $565.25	Professional		$90.30	$146.18	$565.25
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 $133.62 / $281.74 / $567.16	Professional		$133.62	$281.74	$567.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.19 / $455.96 / $699.46	Facility		$390.19	$455.96	$699.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $201.92 / $426.68	Professional		$108.58	$201.92	$426.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.07 / $170.94 / $384.90	Facility		$105.07	$170.94	$384.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.08 / $263.30 / $3,593.00	Facility		$109.08	$263.30	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $260.10 / $804.56	Professional		$129.84	$260.10	$804.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $123.56 / $276.87	Professional		$70.00	$123.56	$276.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.07 / $170.94 / $384.90	Facility		$105.07	$170.94	$384.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $333.89 / $461.93	Professional		$233.08	$333.89	$461.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $210.89 / $281.86 / $762.60	Facility		$210.89	$281.86	$762.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $500.70 / $1,072.16	Professional		$137.61	$500.70	$1,072.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $466.27 / $624.36	Professional		$201.32	$466.27	$624.36
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 $131.21 / $225.50 / $514.55	Professional		$131.21	$225.50	$514.55