Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $407.16 / $1,894.00	Facility		$102.53	$407.16	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $168.43 / $418.67	Professional		$102.53	$168.43	$418.67
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 $169.18 / $353.67 / $757.38	Professional		$169.18	$353.67	$757.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $621.29 / $953.07	Facility		$531.66	$621.29	$953.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $269.10 / $512.74	Professional		$123.71	$269.10	$512.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $231.63 / $532.20	Facility		$119.96	$231.63	$532.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $331.38 / $3,593.00	Facility		$128.97	$331.38	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.96 / $371.58 / $911.84	Professional		$180.96	$371.58	$911.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $182.56 / $395.19	Professional		$96.23	$182.56	$395.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $231.63 / $532.20	Facility		$119.96	$231.63	$532.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.04 / $414.83 / $639.34	Professional		$270.04	$414.83	$639.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $236.83 / $316.52 / $558.60	Facility		$236.83	$316.52	$558.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.83 / $583.75 / $1,469.12	Professional		$156.83	$583.75	$1,469.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $217.96 / $523.42 / $852.66	Professional		$217.96	$523.42	$852.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $296.70 / $723.48	Professional		$176.11	$296.70	$723.48