Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.02 / $274.66 / $1,894.00	Facility		$105.02	$274.66	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $122.22 / $207.44	Professional		$82.98	$122.22	$207.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $262.11 / $707.47	Professional		$127.74	$262.11	$707.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.73 / $407.52 / $657.32	Facility		$348.73	$407.52	$657.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $289.20 / $530.89	Professional		$169.17	$289.20	$530.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $146.47 / $262.45	Facility		$90.40	$146.47	$262.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $294.60 / $2,043.20	Facility		$96.42	$294.60	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $461.22 / $760.54	Professional		$176.67	$461.22	$760.54
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 $90.40 / $146.47 / $262.45	Facility		$90.40	$146.47	$262.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $314.19 / $467.87	Professional		$199.22	$314.19	$467.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $395.09 / $395.09 / $395.09	Facility		$395.09	$395.09	$395.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $503.65 / $995.20	Professional		$158.38	$503.65	$995.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $570.25 / $698.25 / $924.63	Professional		$570.25	$698.25	$924.63
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 $170.19 / $446.20 / $664.11	Professional		$170.19	$446.20	$664.11