Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.69 / $111.61 / $325.41	Facility		$59.69	$111.61	$325.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $79.84 / $182.59	Professional		$45.78	$79.84	$182.59
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 $79.27 / $181.36 / $458.37	Professional		$79.27	$181.36	$458.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $283.27 / $456.90	Facility		$242.40	$283.27	$456.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $173.75 / $317.27	Professional		$83.00	$173.75	$317.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $98.60 / $183.59	Facility		$58.70	$98.60	$183.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.69 / $133.10 / $1,778.00	Facility		$59.69	$133.10	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $287.35 / $596.24	Professional		$91.44	$287.35	$596.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $112.86 / $248.31	Professional		$59.63	$112.86	$248.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $98.60 / $183.59	Facility		$55.03	$98.60	$183.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $191.13 / $312.13	Professional		$114.41	$191.13	$312.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.89 / $407.89 / $407.89	Facility		$407.89	$407.89	$407.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $383.49 / $666.32	Professional		$69.54	$383.49	$666.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $298.42 / $544.90	Professional		$154.69	$298.42	$544.90
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 $89.50 / $248.90 / $375.57	Professional		$89.50	$248.90	$375.57