Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $219.71 / $1,894.00	Facility		$88.74	$219.71	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $144.15 / $544.32	Professional		$88.74	$144.15	$544.32
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 $142.75 / $314.58 / $652.42	Professional		$142.75	$314.58	$652.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.66 / $525.46 / $806.07	Facility		$449.66	$525.46	$806.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $229.68 / $494.00	Professional		$111.90	$229.68	$494.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.14 / $197.11 / $453.12	Facility		$104.14	$197.11	$453.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.65 / $288.54 / $1,513.00	Facility		$106.65	$288.54	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $314.70 / $786.80	Professional		$153.12	$314.70	$786.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $155.91 / $349.74	Professional		$83.91	$155.91	$349.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.14 / $197.11 / $453.12	Facility		$104.14	$197.11	$453.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.55 / $358.62 / $541.98	Professional		$228.55	$358.62	$541.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $206.04 / $275.37 / $740.76	Facility		$206.04	$275.37	$740.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $516.60 / $1,245.92	Professional		$135.33	$516.60	$1,245.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $240.77 / $451.69 / $722.89	Professional		$240.77	$451.69	$722.89
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 $152.58 / $283.23 / $660.47	Professional		$152.58	$283.23	$660.47