Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.41 / $289.69 / $1,894.00	Facility		$118.41	$289.69	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $134.33 / $494.73	Professional		$118.41	$134.33	$494.73
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 $150.13 / $341.72 / $675.92	Professional		$150.13	$341.72	$675.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.48 / $452.80 / $694.61	Facility		$387.48	$452.80	$694.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.56 / $243.35 / $438.96	Professional		$152.56	$243.35	$438.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $197.15 / $456.48	Facility		$128.75	$197.15	$456.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $314.51 / $1,590.00	Facility		$139.38	$314.51	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $301.52 / $1,072.00	Professional		$161.35	$301.52	$1,072.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $174.89 / $411.00	Professional		$98.63	$174.89	$411.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $197.15 / $456.48	Facility		$128.75	$197.15	$456.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $403.09 / $528.00	Professional		$292.50	$403.09	$528.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $271.66 / $363.08 / $681.22	Facility		$271.66	$363.08	$681.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $591.92 / $1,389.28	Professional		$163.11	$591.92	$1,389.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.57 / $265.57 / $283.41	Professional		$265.57	$265.57	$283.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $276.02 / $541.47 / $642.32	Professional		$276.02	$541.47	$642.32
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 $154.22 / $249.28 / $567.23	Professional		$154.22	$249.28	$567.23