Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.96 / $252.41 / $1,894.00	Facility		$101.96	$252.41	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $163.13 / $640.34	Professional		$101.96	$163.13	$640.34
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 $162.83 / $361.97 / $737.98	Professional		$162.83	$361.97	$737.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.13 / $594.96 / $912.69	Facility		$509.13	$594.96	$912.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $259.39 / $522.58	Professional		$129.44	$259.39	$522.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.77 / $224.36 / $518.22	Facility		$119.77	$224.36	$518.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $331.68 / $1,513.00	Facility		$122.69	$331.68	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $358.74 / $906.96	Professional		$174.45	$358.74	$906.96
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 $119.77 / $224.36 / $518.22	Facility		$119.77	$224.36	$518.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.51 / $407.52 / $612.29	Professional		$265.51	$407.52	$612.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $236.70 / $316.35 / $853.50	Facility		$236.70	$316.35	$853.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $599.15 / $1,412.72	Professional		$155.88	$599.15	$1,412.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $520.28 / $819.02	Professional		$276.89	$520.28	$819.02
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 $173.79 / $322.87 / $716.15	Professional		$173.79	$322.87	$716.15