Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $394.02 / $1,894.00	Facility		$148.13	$394.02	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $180.59 / $414.38	Professional		$71.34	$180.59	$414.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $177.26 / $487.85	Professional		$92.94	$177.26	$487.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.16 / $616.02 / $818.74	Facility		$527.16	$616.02	$818.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $329.16 / $898.64	Professional		$102.00	$329.16	$898.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $171.36 / $328.96	Facility		$71.40	$171.36	$328.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.61 / $198.29 / $1,449.00	Facility		$75.61	$198.29	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $737.02 / $2,530.30	Professional		$209.54	$737.02	$2,530.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $164.93 / $395.19	Professional		$95.17	$164.93	$395.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $171.36 / $330.67	Facility		$71.40	$171.36	$330.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $307.26 / $638.60	Professional		$164.74	$307.26	$638.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $185.67 / $520.12 / $1,300.00	Facility		$185.67	$520.12	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $749.52 / $2,530.30	Professional		$156.34	$749.52	$2,530.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $460.95 / $1,258.50	Professional		$248.93	$460.95	$1,258.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $202.84 / $508.62 / $862.54	Professional		$202.84	$508.62	$862.54