Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $272.48 / $1,894.00	Facility		$109.76	$272.48	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $176.80 / $354.58	Professional		$109.76	$176.80	$354.58
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 $179.01 / $392.13 / $809.08	Professional		$179.01	$392.13	$809.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.79 / $651.83 / $999.92	Facility		$557.79	$651.83	$999.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $280.57 / $540.01	Professional		$136.08	$280.57	$540.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $244.95 / $570.41	Facility		$129.53	$244.95	$570.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.50 / $358.35 / $1,513.00	Facility		$137.50	$358.35	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $393.56 / $976.88	Professional		$191.37	$393.56	$976.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $186.31 / $419.70	Professional		$102.76	$186.31	$419.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $244.95 / $570.41	Facility		$129.53	$244.95	$570.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $445.18 / $673.96	Professional		$285.88	$445.18	$673.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $255.52 / $341.50 / $612.76	Facility		$255.52	$341.50	$612.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $645.85 / $1,548.96	Professional		$167.81	$645.85	$1,548.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $298.12 / $560.08 / $898.02	Professional		$298.12	$560.08	$898.02
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 $191.20 / $311.57 / $827.43	Professional		$191.20	$311.57	$827.43