Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $110.17 / $318.14	Facility		$67.89	$110.17	$318.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $94.36 / $301.70	Professional		$57.41	$94.36	$301.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $171.40 / $444.89	Professional		$80.86	$171.40	$444.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.69 / $269.58 / $434.82	Facility		$230.69	$269.58	$434.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $187.73 / $347.12	Professional		$102.65	$187.73	$347.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $95.21 / $137.53	Facility		$48.08	$95.21	$137.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $133.94 / $1,789.00	Facility		$57.41	$133.94	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $301.47 / $493.57	Professional		$105.33	$301.47	$493.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $112.30 / $180.19	Professional		$41.54	$112.30	$180.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $95.21 / $137.53	Facility		$48.08	$95.21	$137.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $190.84 / $290.70	Professional		$118.43	$190.84	$290.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.66 / $234.66 / $234.66	Facility		$234.66	$234.66	$234.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $369.36 / $1,029.88	Professional		$102.81	$369.36	$1,029.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $449.61	Professional		$279.85	$279.85	$449.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $370.14 / $608.78	Professional		$279.98	$370.14	$608.78
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 $95.41 / $286.00 / $414.65	Professional		$95.41	$286.00	$414.65