Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $264.51 / $1,894.00	Facility		$107.94	$264.51	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $188.45 / $449.78	Professional		$107.94	$188.45	$449.78
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 $178.02 / $385.78 / $832.15	Professional		$178.02	$385.78	$832.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.33 / $688.68 / $1,056.46	Facility		$589.33	$688.68	$1,056.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $286.76 / $610.66	Professional		$135.63	$286.76	$610.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $255.87 / $599.70	Facility		$128.37	$255.87	$599.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $349.89 / $1,642.00	Facility		$140.66	$349.89	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $379.94 / $2,473.00	Professional		$199.90	$379.94	$2,473.00
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 $128.37 / $255.87 / $599.70	Facility		$128.37	$255.87	$599.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.39 / $442.93 / $713.99	Professional		$287.39	$442.93	$713.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $331.52 / $596.47	Facility		$248.05	$331.52	$596.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $631.75 / $2,772.20	Professional		$163.72	$631.75	$2,772.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $289.06 / $546.42 / $946.70	Professional		$289.06	$546.42	$946.70
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 $192.47 / $333.05 / $765.34	Professional		$192.47	$333.05	$765.34