Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $288.27 / $1,894.00	Facility		$117.72	$288.27	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $149.52 / $293.63	Professional		$117.72	$149.52	$293.63
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 $160.28 / $349.45 / $738.34	Professional		$160.28	$349.45	$738.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.48 / $548.63 / $841.61	Facility		$469.48	$548.63	$841.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $294.43 / $518.54	Professional		$150.35	$294.43	$518.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $219.48 / $481.86	Facility		$137.72	$219.48	$481.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.52 / $321.24 / $1,513.00	Facility		$149.52	$321.24	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $311.56 / $1,046.64	Professional		$160.93	$311.56	$1,046.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $156.39 / $349.38	Professional		$83.09	$156.39	$349.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $219.48 / $481.86	Facility		$137.72	$219.48	$481.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $418.06 / $583.00	Professional		$306.00	$418.06	$583.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $361.30 / $662.32	Facility		$270.33	$361.30	$662.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $667.90 / $1,316.80	Professional		$223.47	$667.90	$1,316.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $598.75 / $758.81	Professional		$249.21	$598.75	$758.81
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 $145.13 / $241.74 / $623.42	Professional		$145.13	$241.74	$623.42