Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $318.58 / $3,119.00	Facility		$129.16	$318.58	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $201.38 / $400.60	Professional		$129.16	$201.38	$400.60
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 $203.33 / $452.53 / $924.64	Professional		$203.33	$452.53	$924.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.49 / $740.28 / $1,135.60	Facility		$633.49	$740.28	$1,135.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $324.66 / $652.54	Professional		$164.18	$324.66	$652.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.69 / $282.66 / $649.50	Facility		$151.69	$282.66	$649.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.41 / $419.31 / $1,513.00	Facility		$162.41	$419.31	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.43 / $448.26 / $1,145.04	Professional		$217.43	$448.26	$1,145.04
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 $151.69 / $282.66 / $649.50	Facility		$151.69	$282.66	$649.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $335.66 / $509.76 / $765.91	Professional		$335.66	$509.76	$765.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $399.28 / $717.80	Facility		$298.75	$399.28	$717.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $760.30 / $1,761.36	Professional		$196.57	$760.30	$1,761.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $350.71 / $656.07 / $1,020.06	Professional		$350.71	$656.07	$1,020.06
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 $216.21 / $340.61 / $889.99	Professional		$216.21	$340.61	$889.99