Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.01 / $137.11 / $401.76	Facility		$72.01	$137.11	$401.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $108.15 / $221.75	Professional		$65.38	$108.15	$221.75
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 $80.80 / $155.13 / $340.23	Professional		$80.80	$155.13	$340.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $348.55 / $562.20	Facility		$298.27	$348.55	$562.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $209.13 / $390.58	Professional		$97.23	$209.13	$390.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $110.21 / $215.41	Facility		$55.30	$110.21	$215.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $151.86 / $1,778.00	Facility		$63.00	$151.86	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $372.12 / $765.42	Professional		$125.75	$372.12	$765.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $154.67 / $250.69	Professional		$59.63	$154.67	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $110.21 / $215.41	Facility		$47.10	$110.21	$215.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $227.27 / $387.79	Professional		$139.57	$227.27	$387.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $421.86 / $421.86 / $421.86	Facility		$421.86	$421.86	$421.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $445.36 / $856.84	Professional		$83.69	$445.36	$856.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $359.13 / $670.74	Professional		$146.09	$359.13	$670.74
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 $115.72 / $309.76 / $491.94	Professional		$115.72	$309.76	$491.94