Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.60 / $272.63 / $3,119.00	Facility		$112.60	$272.63	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $173.91 / $476.62	Professional		$112.60	$173.91	$476.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,601.00	Facility		$1,905.00	$1,979.00	$2,601.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $390.81 / $813.56	Professional		$184.17	$390.81	$813.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.66 / $631.82 / $969.23	Facility		$540.66	$631.82	$969.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $285.73 / $563.55	Professional		$149.33	$285.73	$563.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.59 / $241.23 / $556.62	Facility		$132.59	$241.23	$556.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $310.77 / $1,590.00	Facility		$145.07	$310.77	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.03 / $402.59 / $2,089.00	Professional		$204.03	$402.59	$2,089.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $190.84 / $443.01	Professional		$116.44	$190.84	$443.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.59 / $241.23 / $556.62	Facility		$132.59	$241.23	$556.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $445.60 / $660.98	Professional		$300.95	$445.60	$660.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $255.67 / $341.70 / $610.08	Facility		$255.67	$341.70	$610.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $664.70 / $2,266.96	Professional		$169.65	$664.70	$2,266.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $566.24 / $873.67	Professional		$304.22	$566.24	$873.67
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 $188.04 / $332.51 / $840.25	Professional		$188.04	$332.51	$840.25