Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $255.96 / $3,547.90	Facility		$67.31	$255.96	$3,547.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $149.50 / $486.00	Professional		$67.29	$149.50	$486.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $310.37 / $769.43	Professional		$125.31	$310.37	$769.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.55 / $515.98 / $832.27	Facility		$441.55	$515.98	$832.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $306.86 / $583.79	Professional		$132.01	$306.86	$583.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $137.22 / $320.26	Facility		$67.31	$137.22	$320.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $255.11 / $4,142.85	Facility		$70.20	$255.11	$4,142.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.85 / $452.63 / $890.48	Professional		$178.85	$452.63	$890.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $215.88 / $338.03	Professional		$77.22	$215.88	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $137.22 / $320.26	Facility		$67.31	$137.22	$320.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $309.14 / $569.87	Professional		$158.00	$309.14	$569.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $490.56 / $490.56 / $490.56	Facility		$490.56	$490.56	$490.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $698.45 / $1,334.92	Professional		$135.97	$698.45	$1,334.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $416.55 / $909.79	Professional		$338.94	$416.55	$909.79
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 $151.37 / $398.29 / $672.32	Professional		$151.37	$398.29	$672.32