Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $315.58 / $1,894.00	Facility		$129.38	$315.58	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $146.79 / $562.44	Professional		$129.38	$146.79	$562.44
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 $167.13 / $365.17 / $752.52	Professional		$167.13	$365.17	$752.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $505.45 / $775.38	Facility		$432.54	$505.45	$775.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $269.30 / $458.27	Professional		$168.05	$269.30	$458.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $215.15 / $507.09	Facility		$141.41	$215.15	$507.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.06 / $343.21 / $1,590.00	Facility		$155.06	$343.21	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $336.86 / $1,168.40	Professional		$179.39	$336.86	$1,168.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $205.30 / $481.26	Professional		$117.74	$205.30	$481.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $215.15 / $507.09	Facility		$141.41	$215.15	$507.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.50 / $440.29 / $587.40	Professional		$318.50	$440.29	$587.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.95 / $395.53 / $741.78	Facility		$295.95	$395.53	$741.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $645.26 / $1,516.65	Professional		$177.80	$645.26	$1,516.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $289.41 / $314.89	Professional		$289.41	$289.41	$314.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $647.79 / $715.12	Professional		$310.64	$647.79	$715.12
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 $171.24 / $267.57 / $664.66	Professional		$171.24	$267.57	$664.66