Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $456.18 / $4,558.01	Facility		$163.55	$456.18	$4,558.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $130.25 / $447.60	Professional		$83.21	$130.25	$447.60
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 $122.05 / $263.70 / $658.40	Professional		$122.05	$263.70	$658.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.61 / $387.52 / $625.04	Facility		$331.61	$387.52	$625.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $283.38 / $495.50	Professional		$157.03	$283.38	$495.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $136.51 / $244.58	Facility		$88.22	$136.51	$244.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $263.23 / $4,514.00	Facility		$92.42	$263.23	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $427.32 / $703.08	Professional		$150.66	$427.32	$703.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $189.90 / $312.41	Professional		$77.26	$189.90	$312.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $136.51 / $244.58	Facility		$88.22	$136.51	$244.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.61 / $287.31 / $430.57	Professional		$164.61	$287.31	$430.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $383.01 / $383.01 / $383.01	Facility		$383.01	$383.01	$383.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $411.60 / $941.76	Professional		$143.15	$411.60	$941.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $420.11 / $558.79 / $877.73	Professional		$420.11	$558.79	$877.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $381.71 / $613.94	Professional		$148.58	$381.71	$613.94