Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.35 / $404.13 / $3,537.26	Facility		$99.35	$404.13	$3,537.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $170.31 / $422.65	Professional		$99.35	$170.31	$422.65
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 $162.10 / $341.47 / $749.21	Professional		$162.10	$341.47	$749.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.42 / $581.27 / $891.69	Facility		$497.42	$581.27	$891.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $282.47 / $545.95	Professional		$133.97	$282.47	$545.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $215.16 / $505.08	Facility		$108.99	$215.16	$505.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $302.33 / $1,642.00	Facility		$120.94	$302.33	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $365.46 / $978.00	Professional		$191.19	$365.46	$978.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $186.31 / $414.76	Professional		$83.91	$186.31	$414.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $215.16 / $505.08	Facility		$108.99	$215.16	$505.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.44 / $370.99 / $598.24	Professional		$246.44	$370.99	$598.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $212.65 / $284.20 / $499.54	Facility		$212.65	$284.20	$499.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $554.65 / $1,376.88	Professional		$202.00	$554.65	$1,376.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $249.18 / $469.74 / $798.93	Professional		$249.18	$469.74	$798.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $283.23 / $726.07	Professional		$186.06	$283.23	$726.07