Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $237.99 / $1,894.00	Facility		$54.90	$237.99	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $125.61 / $245.18	Professional		$54.90	$125.61	$245.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $267.08 / $652.47	Professional		$119.43	$267.08	$652.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.19 / $455.96 / $735.45	Facility		$390.19	$455.96	$735.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $230.45 / $489.67	Professional		$122.27	$230.45	$489.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $126.24 / $282.68	Facility		$54.90	$126.24	$282.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $202.12 / $5,261.00	Facility		$64.23	$202.12	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.79 / $413.86 / $710.05	Professional		$158.79	$413.86	$710.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $194.09 / $338.03	Professional		$77.22	$194.09	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $126.24 / $282.68	Facility		$54.90	$126.24	$282.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $271.36 / $492.40	Professional		$156.47	$271.36	$492.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.16 / $316.16 / $316.16	Facility		$316.16	$316.16	$316.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $621.32 / $1,090.24	Professional		$125.62	$621.32	$1,090.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.32 / $277.63 / $628.57	Professional		$156.32	$277.63	$628.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.81 / $362.44 / $606.90	Professional		$152.81	$362.44	$606.90