Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $350.98 / $1,894.00	Facility		$138.02	$350.98	$1,894.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.01 / $118.37 / $312.76	Facility	52	$69.01	$118.37	$312.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $181.76 / $598.25	Professional		$124.26	$181.76	$598.25
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 $163.94 / $394.77 / $926.77	Professional		$163.94	$394.77	$926.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.67 / $535.99 / $864.54	Facility		$458.67	$535.99	$864.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $400.78 / $604.76	Professional		$187.46	$400.78	$604.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.68 / $210.55 / $349.16	Facility		$134.68	$210.55	$349.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $262.50 / $1,778.00	Facility		$138.02	$262.50	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $568.77 / $1,169.91	Professional		$197.83	$568.77	$1,169.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $245.83 / $414.04	Professional		$85.00	$245.83	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $134.68 / $210.55 / $375.00	Facility		$134.68	$210.55	$375.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.42 / $395.19 / $605.34	Professional		$265.42	$395.19	$605.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $945.28 / $945.28 / $945.28	Facility		$945.28	$945.28	$945.28
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $421.46 / $421.46 / $421.46	Facility	52	$421.46	$421.46	$421.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $730.98 / $1,280.96	Professional		$160.38	$730.98	$1,280.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $373.85 / $688.29 / $1,038.64	Professional		$373.85	$688.29	$1,038.64
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 $176.12 / $492.62 / $736.92	Professional		$176.12	$492.62	$736.92