Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $329.78 / $1,089.90	Facility		$68.04	$329.78	$1,089.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $110.74 / $380.72	Professional		$59.17	$110.74	$380.72
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 $108.87 / $219.54 / $491.50	Professional		$108.87	$219.54	$491.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.73 / $407.52 / $625.15	Facility		$348.73	$407.52	$625.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $180.96 / $385.01	Professional		$79.52	$180.96	$385.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $153.41 / $364.80	Facility		$71.64	$153.41	$364.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $211.92 / $1,455.00	Facility		$76.95	$211.92	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $248.30 / $619.00	Professional		$125.57	$248.30	$619.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $221.50	Professional		$58.91	$95.42	$221.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $153.41 / $364.80	Facility		$71.64	$153.41	$364.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $248.70 / $431.64	Professional		$162.16	$248.70	$431.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.31 / $180.85 / $509.10	Facility		$135.31	$180.85	$509.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $350.90 / $1,072.34	Professional		$90.16	$350.90	$1,072.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $300.91 / $563.41	Professional		$157.80	$300.91	$563.41
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $232.05 / $495.61	Professional		$122.99	$232.05	$495.61