Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $252.81 / $450.56	Facility		$76.61	$252.81	$450.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $122.33 / $527.00	Professional		$66.43	$122.33	$527.00
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 $101.49 / $235.90 / $605.87	Professional		$101.49	$235.90	$605.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $384.36 / $589.61	Facility		$328.91	$384.36	$589.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $168.30 / $450.07	Professional		$84.29	$168.30	$450.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $146.07 / $331.17	Facility		$72.69	$146.07	$331.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $189.81 / $1,513.00	Facility		$76.14	$189.81	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $241.37 / $704.66	Professional		$128.12	$241.37	$704.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $221.50	Professional		$58.91	$95.42	$221.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $146.07 / $331.17	Facility		$72.69	$146.07	$331.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $245.92 / $411.46	Professional		$151.61	$245.92	$411.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $178.93 / $314.87	Facility		$133.88	$178.93	$314.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $346.40 / $913.76	Professional		$108.31	$346.40	$913.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $390.93 / $624.46	Professional		$269.42	$390.93	$624.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $194.49 / $531.77	Professional		$124.57	$194.49	$531.77