Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.41 / $277.97 / $3,119.00	Facility		$112.41	$277.97	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $159.55 / $735.00	Professional		$112.41	$159.55	$735.00
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 $164.12 / $340.40 / $710.79	Professional		$164.12	$340.40	$710.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.48 / $548.63 / $841.61	Facility		$469.48	$548.63	$841.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $247.09 / $481.26	Professional		$133.41	$247.09	$481.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.11 / $207.29 / $469.20	Facility		$128.11	$207.29	$469.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.21 / $327.80 / $3,593.00	Facility		$132.21	$327.80	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $323.58 / $998.00	Professional		$160.66	$323.58	$998.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $156.39 / $349.74	Professional		$83.91	$156.39	$349.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.11 / $207.29 / $469.20	Facility		$128.11	$207.29	$469.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $409.14 / $562.54	Professional		$293.42	$409.14	$562.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $260.67 / $348.38 / $946.02	Facility		$260.67	$348.38	$946.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $631.35 / $1,300.00	Professional		$167.84	$631.35	$1,300.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $255.01 / $575.45 / $753.81	Professional		$255.01	$575.45	$753.81
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 $149.69 / $258.50 / $629.47	Professional		$149.69	$258.50	$629.47