Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $293.94 / $1,894.00	Facility		$76.20	$293.94	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $124.20 / $250.07	Professional		$76.20	$124.20	$250.07
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 $126.09 / $272.33 / $556.85	Professional		$126.09	$272.33	$556.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.27 / $444.38 / $681.69	Facility		$380.27	$444.38	$681.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $200.88 / $393.60	Professional		$101.73	$200.88	$393.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $169.83 / $398.04	Facility		$90.61	$169.83	$398.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $246.12 / $3,593.00	Facility		$98.45	$246.12	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $276.00 / $682.16	Professional		$139.50	$276.00	$682.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $126.60 / $297.51	Professional		$78.44	$126.60	$297.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $169.83 / $398.04	Facility		$90.61	$169.83	$398.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $310.27 / $468.42	Professional		$206.12	$310.27	$468.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.10 / $231.35 / $417.83	Facility		$173.10	$231.35	$417.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $452.20 / $1,075.04	Professional		$115.31	$452.20	$1,075.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $169.28 / $268.02	Professional		$169.28	$169.28	$268.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $384.86 / $616.91	Professional		$187.90	$384.86	$616.91
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 $129.29 / $218.21 / $528.47	Professional		$129.29	$218.21	$528.47