Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.41 / $262.42 / $3,119.00	Facility		$106.41	$262.42	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $173.46 / $419.83	Professional		$106.41	$173.46	$419.83
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 $175.55 / $366.57 / $782.23	Professional		$175.55	$366.57	$782.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.78 / $641.29 / $983.76	Facility		$548.78	$641.29	$983.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $280.01 / $529.16	Professional		$128.51	$280.01	$529.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $238.84 / $555.27	Facility		$124.50	$238.84	$555.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $344.13 / $3,593.00	Facility		$133.15	$344.13	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $386.76 / $945.68	Professional		$186.59	$386.76	$945.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $186.31 / $416.25	Professional		$83.91	$186.31	$416.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $238.84 / $555.27	Facility		$124.50	$238.84	$555.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $430.57 / $658.82	Professional		$279.08	$430.57	$658.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $246.09 / $328.90 / $894.24	Facility		$246.09	$328.90	$894.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $606.40 / $1,515.36	Professional		$162.84	$606.40	$1,515.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $543.51 / $879.97	Professional		$270.64	$543.51	$879.97
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 $184.87 / $286.64 / $744.57	Professional		$184.87	$286.64	$744.57