Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $254.57 / $1,894.00	Facility		$102.85	$254.57	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $171.87 / $817.00	Professional		$102.85	$171.87	$817.00
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 $167.21 / $366.97 / $755.17	Professional		$167.21	$366.97	$755.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.85 / $608.65 / $933.69	Facility		$520.85	$608.65	$933.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $259.87 / $552.96	Professional		$127.48	$259.87	$552.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.79 / $228.43 / $530.76	Facility		$120.79	$228.43	$530.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.59 / $334.50 / $1,513.00	Facility		$126.59	$334.50	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.85 / $368.42 / $914.72	Professional		$178.85	$368.42	$914.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $182.56 / $395.01	Professional		$97.44	$182.56	$395.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.79 / $228.43 / $530.76	Facility		$120.79	$228.43	$530.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $414.83 / $627.44	Professional		$267.77	$414.83	$627.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.73 / $319.05 / $573.79	Facility		$238.73	$319.05	$573.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $604.50 / $1,445.12	Professional		$157.22	$604.50	$1,445.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $280.02 / $524.77 / $837.99	Professional		$280.02	$524.77	$837.99
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 $178.22 / $290.29 / $734.05	Professional		$178.22	$290.29	$734.05