Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $210.08 / $1,894.00	Facility		$86.35	$210.08	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $97.97 / $358.90	Professional		$86.35	$97.97	$358.90
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 $111.54 / $252.62 / $503.03	Professional		$111.54	$252.62	$503.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.26 / $338.02 / $518.54	Facility		$289.26	$338.02	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $180.24 / $326.69	Professional		$113.04	$180.24	$326.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $143.69 / $338.91	Facility		$94.46	$143.69	$338.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.78 / $229.03 / $1,590.00	Facility		$103.78	$229.03	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $225.11 / $777.68	Professional		$120.26	$225.11	$777.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $142.55 / $327.02	Professional		$82.56	$142.55	$327.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $143.69 / $338.91	Facility		$94.46	$143.69	$338.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.90 / $293.97 / $392.70	Professional		$211.90	$293.97	$392.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $197.01 / $263.30 / $493.51	Facility		$197.01	$263.30	$493.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $429.53 / $1,010.71	Professional		$118.36	$429.53	$1,010.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $193.23 / $211.06	Professional		$193.23	$193.23	$211.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.38 / $403.38 / $478.03	Professional		$197.38	$403.38	$478.03
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 $119.22 / $222.88 / $462.48	Professional		$119.22	$222.88	$462.48