Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $257.51 / $1,894.00	Facility		$68.15	$257.51	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $107.40 / $440.23	Professional		$68.15	$107.40	$440.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $241.35 / $502.98	Professional		$114.59	$241.35	$502.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.41 / $389.62 / $597.69	Facility		$333.41	$389.62	$597.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $200.29 / $348.04	Professional		$97.35	$200.29	$348.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $147.18 / $343.35	Facility		$80.81	$147.18	$343.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $216.44 / $1,590.00	Facility		$88.31	$216.44	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $251.41 / $605.84	Professional		$125.00	$251.41	$605.84
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 $80.81 / $147.18 / $343.35	Facility		$80.81	$147.18	$343.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $274.95 / $407.84	Professional		$181.79	$274.95	$407.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $207.52 / $370.89	Facility		$155.27	$207.52	$370.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $406.15 / $937.28	Professional		$140.76	$406.15	$937.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.28 / $343.81 / $539.62	Professional		$185.28	$343.81	$539.62
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 $117.19 / $252.88 / $548.83	Professional		$117.19	$252.88	$548.83