Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $254.21 / $1,894.00	Facility		$103.12	$254.21	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $169.30 / $516.04	Professional		$103.12	$169.30	$516.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $357.63 / $760.64	Professional		$170.23	$357.63	$760.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.46 / $623.39 / $956.30	Facility		$533.46	$623.39	$956.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $270.74 / $548.62	Professional		$124.30	$270.74	$548.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $232.18 / $533.64	Facility		$120.65	$232.18	$533.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $333.69 / $3,995.00	Facility		$129.99	$333.69	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $374.32 / $918.24	Professional		$181.39	$374.32	$918.24
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 $120.65 / $232.18 / $533.64	Facility		$120.65	$232.18	$533.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $418.20 / $641.51	Professional		$271.55	$418.20	$641.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.39 / $318.60 / $563.14	Facility		$238.39	$318.60	$563.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.87 / $589.54 / $1,475.60	Professional		$157.87	$589.54	$1,475.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $526.90 / $856.13	Professional		$228.17	$526.90	$856.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $3,068.00 / $4,295.00	Facility		$1,944.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $336.89 / $793.48	Professional		$181.39	$336.89	$793.48