Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.41 / $137.63 / $3,119.00	Facility		$56.41	$137.63	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $109.47 / $366.68	Professional		$56.41	$109.47	$366.68
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 $107.11 / $211.69 / $501.99	Professional		$107.11	$211.69	$501.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.62 / $398.05 / $610.61	Facility		$340.62	$398.05	$610.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $171.46 / $375.21	Professional		$75.84	$171.46	$375.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.05 / $138.41 / $346.02	Facility		$67.05	$138.41	$346.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $183.51 / $1,513.00	Facility		$67.45	$183.51	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $258.67 / $1,392.00	Professional		$129.59	$258.67	$1,392.00
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 $67.05 / $138.41 / $346.02	Facility		$67.05	$138.41	$346.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $233.93 / $416.23	Professional		$153.12	$233.93	$416.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $129.07 / $172.50 / $311.83	Facility		$129.07	$172.50	$311.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $337.10 / $1,510.76	Professional		$85.43	$337.10	$1,510.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $285.13 / $549.07	Professional		$154.22	$285.13	$549.07
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 $124.48 / $203.42 / $519.66	Professional		$124.48	$203.42	$519.66