Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.42 / $224.87 / $3,119.00	Facility		$91.42	$224.87	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $131.53 / $318.39	Professional		$91.42	$131.53	$318.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $298.43 / $610.51	Professional		$141.91	$298.43	$610.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.42 / $485.45 / $744.69	Facility		$415.42	$485.45	$744.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $250.36 / $458.71	Professional		$122.04	$250.36	$458.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.35 / $189.49 / $426.12	Facility		$108.35	$189.49	$426.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.35 / $284.08 / $1,513.00	Facility		$118.35	$284.08	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $284.06 / $822.48	Professional		$142.10	$284.06	$822.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $159.30 / $370.26	Professional		$97.44	$159.30	$370.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.35 / $189.49 / $426.12	Facility		$108.35	$189.49	$426.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.66 / $358.75 / $508.45	Professional		$246.66	$358.75	$508.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $210.87 / $281.83 / $779.28	Facility		$210.87	$281.83	$779.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $528.90 / $1,166.16	Professional		$179.98	$528.90	$1,166.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $468.21 / $671.25	Professional		$202.80	$468.21	$671.25
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 $136.38 / $247.28 / $610.96	Professional		$136.38	$247.28	$610.96