Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $362.60 / $1,894.00	Facility		$115.27	$362.60	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $178.59 / $360.54	Professional		$115.27	$178.59	$360.54
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 $181.37 / $401.33 / $825.56	Professional		$181.37	$401.33	$825.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.10 / $659.20 / $1,011.22	Facility		$564.10	$659.20	$1,011.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $288.64 / $612.91	Professional		$142.88	$288.64	$612.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $247.53 / $569.76	Facility		$135.60	$247.53	$569.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $363.56 / $1,513.00	Facility		$137.13	$363.56	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.60 / $400.74 / $1,024.72	Professional		$194.60	$400.74	$1,024.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $186.96 / $419.70	Professional		$102.76	$186.96	$419.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $247.53 / $569.76	Facility		$135.60	$247.53	$569.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $455.40 / $680.45	Professional		$300.20	$455.40	$680.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $267.58 / $357.63 / $963.96	Facility		$267.58	$357.63	$963.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $678.85 / $1,567.28	Professional		$176.00	$678.85	$1,567.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $587.42 / $907.92	Professional		$313.79	$587.42	$907.92
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 $189.55 / $315.47 / $795.95	Professional		$189.55	$315.47	$795.95