Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $246.69 / $1,894.00	Facility		$99.59	$246.69	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $155.93 / $632.01	Professional		$99.59	$155.93	$632.01
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 $155.69 / $345.49 / $707.96	Professional		$155.69	$345.49	$707.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.70 / $567.58 / $870.69	Facility		$485.70	$567.58	$870.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $248.26 / $533.69	Professional		$126.25	$248.26	$533.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $216.18 / $495.69	Facility		$117.06	$216.18	$495.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.43 / $324.14 / $1,513.00	Facility		$118.43	$324.14	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $342.80 / $883.84	Professional		$166.29	$342.80	$883.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $156.39 / $349.74	Professional		$83.91	$156.39	$349.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $216.18 / $495.69	Facility		$117.06	$216.18	$495.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $393.80 / $585.25	Professional		$258.72	$393.80	$585.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $309.18 / $832.02	Facility		$231.34	$309.18	$832.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $582.15 / $1,347.84	Professional		$151.87	$582.15	$1,347.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $271.36 / $506.90 / $780.98	Professional		$271.36	$506.90	$780.98
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 $151.37 / $265.67 / $717.70	Professional		$151.37	$265.67	$717.70