Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $200.39 / $1,894.00	Facility		$80.18	$200.39	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $127.74 / $258.02	Professional		$80.18	$127.74	$258.02
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 $129.56 / $284.81 / $584.54	Professional		$129.56	$284.81	$584.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.50 / $473.86 / $726.92	Facility		$405.50	$473.86	$726.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $204.44 / $433.55	Professional		$98.50	$204.44	$433.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $178.12 / $408.00	Facility		$95.00	$178.12	$408.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $263.19 / $1,513.00	Facility		$98.68	$263.19	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $286.55 / $715.68	Professional		$139.34	$286.55	$715.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $124.04 / $276.87	Professional		$70.00	$124.04	$276.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $178.12 / $408.00	Facility		$95.00	$178.12	$408.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.68 / $325.44 / $488.97	Professional		$206.68	$325.44	$488.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $187.92 / $251.15 / $674.52	Facility		$187.92	$251.15	$674.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $467.10 / $1,120.80	Professional		$123.12	$467.10	$1,120.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $410.92 / $650.19	Professional		$217.24	$410.92	$650.19
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 $137.35 / $225.69 / $580.49	Professional		$137.35	$225.69	$580.49