Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.97 / $283.93 / $1,894.00	Facility		$114.97	$283.93	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $178.12 / $427.41	Professional		$114.97	$178.12	$427.41
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 $179.19 / $394.86 / $819.16	Professional		$179.19	$394.86	$819.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.19 / $647.61 / $993.46	Facility		$554.19	$647.61	$993.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $283.74 / $604.64	Professional		$142.16	$283.74	$604.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $246.95 / $566.88	Facility		$134.94	$246.95	$566.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.40 / $373.38 / $1,513.00	Facility		$144.40	$373.38	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.46 / $393.84 / $1,019.60	Professional		$191.46	$393.84	$1,019.60
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 $134.94 / $246.95 / $566.88	Facility		$134.94	$246.95	$566.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $453.20 / $668.55	Professional		$298.70	$453.20	$668.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $266.26 / $355.86 / $959.16	Facility		$266.26	$355.86	$959.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.11 / $675.30 / $1,540.08	Professional		$175.11	$675.30	$1,540.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $312.22 / $584.41 / $891.91	Professional		$312.22	$584.41	$891.91
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 $95.00 / $319.81 / $1,214.31	Professional		$95.00	$319.81	$1,214.31