Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.67 / $383.67 / $1,894.00	Facility		$121.67	$383.67	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $237.21 / $929.00	Professional		$126.86	$237.21	$929.00
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 $211.89 / $438.08 / $997.78	Professional		$211.89	$438.08	$997.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.98 / $830.84 / $1,274.53	Facility		$710.98	$830.84	$1,274.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $372.77 / $732.22	Professional		$165.76	$372.77	$732.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $296.38 / $707.67	Facility		$143.01	$296.38	$707.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.63 / $400.84 / $1,513.00	Facility		$153.63	$400.84	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.07 / $457.34 / $1,081.44	Professional		$236.07	$457.34	$1,081.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $162.21 / $460.88	Professional		$26.80	$162.21	$460.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $296.38 / $707.67	Facility		$143.01	$296.38	$707.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $499.66 / $850.29	Professional		$317.56	$499.66	$850.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $282.02 / $376.92 / $1,020.66	Facility		$282.02	$376.92	$1,020.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.18 / $711.45 / $1,960.40	Professional		$258.18	$711.45	$1,960.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $619.87 / $1,139.04	Professional		$295.27	$619.87	$1,139.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $393.30 / $1,012.64	Professional		$228.26	$393.30	$1,012.64