Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $399.74 / $5,536.08	Facility		$123.75	$399.74	$5,536.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $175.31 / $712.42	Professional		$123.75	$175.31	$712.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $377.57 / $794.44	Professional		$182.71	$377.57	$794.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.95 / $607.60 / $932.07	Facility		$519.95	$607.60	$932.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $275.56 / $571.09	Professional		$149.47	$275.56	$571.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.93 / $230.96 / $523.47	Facility		$143.93	$230.96	$523.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.18 / $355.32 / $3,641.00	Facility		$146.18	$355.32	$3,641.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $325.49 / $1,098.96	Professional		$175.12	$325.49	$1,098.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $182.69 / $395.01	Professional		$97.44	$182.69	$395.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $143.93 / $230.96 / $523.47	Facility		$143.93	$230.96	$523.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $457.13 / $628.53	Professional		$323.58	$457.13	$628.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $287.33 / $384.03 / $1,041.54	Facility		$287.33	$384.03	$1,041.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.81 / $698.10 / $1,442.72	Professional		$185.81	$698.10	$1,442.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $632.69 / $835.72	Professional		$295.27	$632.69	$835.72
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 $177.66 / $305.20 / $762.77	Professional		$177.66	$305.20	$762.77