Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.22 / $287.95 / $1,894.00	Facility		$60.22	$287.95	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $119.82 / $264.43	Professional		$60.22	$119.82	$264.43
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 $117.82 / $228.86 / $534.28	Professional		$117.82	$228.86	$534.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.06 / $435.95 / $668.77	Facility		$373.06	$435.95	$668.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $183.26 / $412.40	Professional		$89.58	$183.26	$412.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $163.81 / $389.88	Facility		$72.83	$163.81	$389.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $214.85 / $1,513.00	Facility		$77.80	$214.85	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $273.00 / $671.00	Professional		$137.43	$273.00	$671.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $127.76 / $294.93	Professional		$78.64	$127.76	$294.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.83 / $163.81 / $389.88	Facility		$72.83	$163.81	$389.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.79 / $252.10 / $460.85	Professional		$165.79	$252.10	$460.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.79 / $182.82 / $517.44	Facility		$136.79	$182.82	$517.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $357.25 / $1,175.18	Professional		$130.53	$357.25	$1,175.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $304.70 / $603.49	Professional		$160.52	$304.70	$603.49
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 $127.98 / $256.70 / $538.91	Professional		$127.98	$256.70	$538.91