Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $216.63 / $1,894.00	Facility		$84.63	$216.63	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $195.68 / $686.26	Professional		$76.12	$195.68	$686.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $274.83 / $849.69	Professional		$107.36	$274.83	$849.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.36 / $528.62 / $810.92	Facility		$452.36	$528.62	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $250.24 / $600.08	Professional		$107.05	$250.24	$600.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $164.05 / $345.51	Facility		$72.86	$164.05	$345.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $200.98 / $1,449.00	Facility		$77.72	$200.98	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $545.76 / $1,255.59	Professional		$223.28	$545.76	$1,255.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $215.53 / $315.53	Professional		$77.53	$215.53	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $164.05 / $345.51	Facility		$76.17	$164.05	$345.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $307.17 / $576.88	Professional		$158.63	$307.17	$576.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.23 / $314.87 / $314.87	Facility		$171.23	$314.87	$314.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $427.24 / $1,255.59	Professional		$127.84	$427.24	$1,255.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $361.83 / $860.38 / $1,183.25	Professional		$361.83	$860.38	$1,183.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,507.00 / $2,153.10	Facility		$1,034.00	$1,507.00	$2,153.10
United Facility/Professional Professional Modifier Low / Median / High Price $210.85 / $405.45 / $801.53	Professional		$210.85	$405.45	$801.53