Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $252.87 / $4,009.85	Facility		$81.97	$252.87	$4,009.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $152.47 / $505.21	Professional		$70.97	$152.47	$505.21
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 $95.59 / $189.20 / $395.71	Professional		$95.59	$189.20	$395.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.17 / $445.43 / $718.47	Facility		$381.17	$445.43	$718.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $241.38 / $497.80	Professional		$126.13	$241.38	$497.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $135.58 / $274.02	Facility		$69.37	$135.58	$274.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.67 / $191.18 / $5,261.00	Facility		$75.67	$191.18	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $468.68 / $972.49	Professional		$151.22	$468.68	$972.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $192.30 / $338.03	Professional		$77.22	$192.30	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $133.72 / $274.02	Facility		$63.06	$133.72	$274.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.77 / $270.39 / $491.84	Professional		$158.77	$270.39	$491.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $402.30 / $402.30	Facility		$402.30	$402.30	$402.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $601.70 / $1,045.44	Professional		$105.26	$601.70	$1,045.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $410.87 / $854.88	Professional		$169.46	$410.87	$854.88
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 $146.13 / $394.63 / $612.57	Professional		$146.13	$394.63	$612.57