Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $182.48 / $1,894.00	Facility		$72.89	$182.48	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $122.06 / $325.20	Professional		$72.89	$122.06	$325.20
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 $121.37 / $259.64 / $544.91	Professional		$121.37	$259.64	$544.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.17 / $445.43 / $683.30	Facility		$381.17	$445.43	$683.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $194.21 / $388.44	Professional		$89.90	$194.21	$388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.26 / $166.81 / $386.91	Facility		$86.26	$166.81	$386.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.70 / $239.34 / $1,513.00	Facility		$90.70	$239.34	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $267.83 / $651.04	Professional		$130.60	$267.83	$651.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $123.56 / $276.87	Professional		$70.00	$123.56	$276.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.26 / $166.81 / $386.91	Facility		$86.26	$166.81	$386.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $297.91 / $458.68	Professional		$188.58	$297.91	$458.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $228.70 / $613.67	Facility		$171.12	$228.70	$613.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $423.45 / $1,053.68	Professional		$112.10	$423.45	$1,053.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $374.13 / $611.96	Professional		$197.62	$374.13	$611.96
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 $125.05 / $217.11 / $559.01	Professional		$125.05	$217.11	$559.01