Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $344.43 / $1,894.00	Facility		$103.85	$344.43	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $144.97 / $605.89	Professional		$103.85	$144.97	$605.89
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 $159.82 / $326.02 / $724.63	Professional		$159.82	$326.02	$724.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $515.98 / $791.53	Facility		$441.55	$515.98	$791.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $271.45 / $437.88	Professional		$149.08	$271.45	$437.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.42 / $199.35 / $459.24	Facility		$123.42	$199.35	$459.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $306.16 / $1,590.00	Facility		$135.41	$306.16	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $335.01 / $925.12	Professional		$168.06	$335.01	$925.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $159.30 / $367.52	Professional		$97.44	$159.30	$367.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.42 / $199.35 / $459.24	Facility		$123.42	$199.35	$459.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $271.62 / $387.96 / $544.15	Professional		$271.62	$387.96	$544.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.09 / $318.20 / $564.64	Facility		$238.09	$318.20	$564.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $621.50 / $1,249.20	Professional		$198.40	$621.50	$1,249.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $241.59 / $526.25 / $717.66	Professional		$241.59	$526.25	$717.66
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 $158.11 / $266.62 / $679.51	Professional		$158.11	$266.62	$679.51