Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $314.01 / $1,894.00	Facility		$127.79	$314.01	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $153.18 / $548.04	Professional		$99.06	$153.18	$548.04
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 $147.82 / $309.44 / $807.08	Professional		$147.82	$309.44	$807.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.20 / $466.49 / $752.44	Facility		$399.20	$466.49	$752.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $352.91 / $608.48	Professional		$208.04	$352.91	$608.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.62 / $167.47 / $244.25	Facility		$117.62	$167.47	$244.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.98 / $233.90 / $4,195.00	Facility		$124.98	$233.90	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $519.98 / $878.47	Professional		$189.02	$519.98	$878.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $217.67 / $326.70	Professional		$77.30	$217.67	$326.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.62 / $167.47 / $244.25	Facility		$117.62	$167.47	$244.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $351.88 / $523.51	Professional		$234.33	$351.88	$523.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.95 / $831.95 / $831.95	Facility		$831.95	$831.95	$831.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $641.57 / $1,131.59	Professional		$187.65	$641.57	$1,131.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $531.88 / $695.87 / $1,057.41	Professional		$531.88	$695.87	$1,057.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,038.48 / $3,068.00 / $4,295.00	Facility		$2,038.48	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.79 / $510.84 / $756.97	Professional		$178.79	$510.84	$756.97