Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $214.79 / $6,461.00	Facility		$86.64	$214.79	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $145.94 / $353.39	Professional		$86.64	$145.94	$353.39
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 $150.88 / $317.83 / $694.15	Professional		$150.88	$317.83	$694.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.67 / $535.99 / $822.23	Facility		$458.67	$535.99	$822.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.91 / $242.70 / $500.40	Professional		$115.91	$242.70	$500.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $201.04 / $471.78	Facility		$104.95	$201.04	$471.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $285.51 / $1,513.00	Facility		$113.68	$285.51	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $346.98 / $1,775.00	Professional		$177.68	$346.98	$1,775.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $159.30 / $366.38	Professional		$97.44	$159.30	$366.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $201.04 / $471.78	Facility		$104.95	$201.04	$471.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $358.62 / $561.46	Professional		$233.08	$358.62	$561.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $269.20 / $482.93	Facility		$201.42	$269.20	$482.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $524.85 / $1,925.20	Professional		$133.00	$524.85	$1,925.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $240.60 / $443.87 / $741.17	Professional		$240.60	$443.87	$741.17
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 $167.96 / $273.47 / $663.10	Professional		$167.96	$273.47	$663.10