Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.74 / $185.83 / $467.73	Facility		$109.74	$185.83	$467.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $133.76 / $417.53	Professional		$93.48	$133.76	$417.53
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 $124.28 / $293.92 / $692.74	Professional		$124.28	$293.92	$692.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.02 / $393.83 / $635.24	Facility		$337.02	$393.83	$635.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $303.88 / $448.18	Professional		$165.18	$303.88	$448.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.85 / $134.32 / $188.94	Facility		$90.85	$134.32	$188.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $180.94 / $4,130.00	Facility		$99.11	$180.94	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.11 / $428.08 / $880.52	Professional		$150.11	$428.08	$880.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $181.64 / $326.70	Professional		$78.44	$181.64	$326.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.85 / $134.32 / $188.94	Facility		$90.85	$134.32	$188.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $298.95 / $448.09	Professional		$204.66	$298.95	$448.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $734.23 / $734.23 / $734.23	Facility		$734.23	$734.23	$734.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $541.08 / $951.28	Professional		$160.66	$541.08	$951.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $312.87	Professional		$223.04	$223.04	$312.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.61 / $540.66 / $768.82	Professional		$297.61	$540.66	$768.82
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 $146.50 / $379.98 / $554.64	Professional		$146.50	$379.98	$554.64