Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $195.68 / $1,894.00	Facility		$83.71	$195.68	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $151.30 / $578.39	Professional		$76.09	$151.30	$578.39
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 $136.59 / $287.17 / $654.84	Professional		$136.59	$287.17	$654.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.36 / $528.62 / $810.92	Facility		$452.36	$528.62	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $243.27 / $459.34	Professional		$99.38	$243.27	$459.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $183.11 / $446.97	Facility		$91.84	$183.11	$446.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.29 / $257.31 / $1,513.00	Facility		$94.29	$257.31	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $293.29 / $721.36	Professional		$133.72	$293.29	$721.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $153.96 / $346.36	Professional		$83.91	$153.96	$346.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $183.11 / $446.97	Facility		$91.84	$183.11	$446.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $320.24 / $534.41	Professional		$202.91	$320.24	$534.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.51 / $245.26 / $426.91	Facility		$183.51	$245.26	$426.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $453.15 / $1,241.35	Professional		$155.50	$453.15	$1,241.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $404.53 / $723.59	Professional		$173.80	$404.53	$723.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $261.31 / $652.07	Professional		$134.65	$261.31	$652.07