Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.68 / $307.13 / $1,894.00	Facility		$124.68	$307.13	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $197.22 / $841.54	Professional		$124.68	$197.22	$841.54
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 $199.13 / $436.65 / $891.26	Professional		$199.13	$436.65	$891.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.47 / $719.22 / $1,103.30	Facility		$615.47	$719.22	$1,103.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $315.42 / $631.48	Professional		$152.88	$315.42	$631.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $272.82 / $617.94	Facility		$145.88	$272.82	$617.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.79 / $403.32 / $3,593.00	Facility		$148.79	$403.32	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.48 / $440.35 / $1,106.48	Professional		$210.48	$440.35	$1,106.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $216.72 / $492.74	Professional		$123.44	$216.72	$492.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $272.82 / $617.94	Facility		$145.88	$272.82	$617.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $327.37 / $493.20 / $741.03	Professional		$327.37	$493.20	$741.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.02 / $384.93 / $678.18	Facility		$288.02	$384.93	$678.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $716.85 / $1,705.60	Professional		$190.30	$716.85	$1,705.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $271.95 / $635.15 / $989.00	Professional		$271.95	$635.15	$989.00
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 $209.86 / $345.62 / $879.71	Professional		$209.86	$345.62	$879.71