Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $316.77 / $1,894.00	Facility		$186.76	$316.77	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $191.72 / $557.74	Professional		$146.55	$191.72	$557.74
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 $192.22 / $457.86 / $1,065.57	Professional		$192.22	$457.86	$1,065.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.99 / $553.89 / $893.41	Facility		$473.99	$553.89	$893.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $472.96 / $717.38	Professional		$267.50	$472.96	$717.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.95 / $219.72 / $318.14	Facility		$168.95	$219.72	$318.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $310.35 / $4,195.00	Facility		$171.59	$310.35	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.26 / $612.50 / $1,153.68	Professional		$210.26	$612.50	$1,153.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $225.98 / $476.37	Professional		$83.97	$225.98	$476.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.95 / $219.72 / $318.14	Facility		$168.95	$219.72	$318.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $484.84 / $645.54	Professional		$348.49	$484.84	$645.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $706.96 / $706.96 / $706.96	Facility		$706.96	$706.96	$706.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.29 / $762.85 / $1,350.08	Professional		$274.29	$762.85	$1,350.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $421.72 / $923.00 / $1,085.96	Professional		$421.72	$923.00	$1,085.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.26 / $538.80 / $793.74	Professional		$210.26	$538.80	$793.74