Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.27 / $231.41 / $1,894.00	Facility		$90.27	$231.41	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $162.76 / $410.42	Professional		$90.27	$162.76	$410.42
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 $155.41 / $325.52 / $718.76	Professional		$155.41	$325.52	$718.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.36 / $624.45 / $957.92	Facility		$534.36	$624.45	$957.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $279.95 / $527.41	Professional		$115.62	$279.95	$527.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $218.89 / $540.05	Facility		$110.84	$218.89	$540.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.99 / $305.52 / $1,565.18	Facility		$111.99	$305.52	$1,565.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $327.20 / $1,236.00	Professional		$176.96	$327.20	$1,236.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $188.51 / $437.84	Professional		$115.39	$188.51	$437.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $218.89 / $540.05	Facility		$110.84	$218.89	$540.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $390.65 / $650.16	Professional		$242.88	$390.65	$650.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $217.01 / $290.04 / $520.74	Facility		$217.01	$290.04	$520.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $536.25 / $1,481.52	Professional		$142.79	$536.25	$1,481.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $199.62 / $363.98	Professional		$199.62	$199.62	$363.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $476.55 / $857.98	Professional		$245.54	$476.55	$857.98
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 $169.08 / $308.66 / $785.21	Professional		$169.08	$308.66	$785.21