Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $246.38 / $728.30	Facility		$125.60	$246.38	$728.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $210.03 / $503.45	Professional		$125.60	$210.03	$503.45
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 $181.42 / $431.48 / $1,071.50	Professional		$181.42	$431.48	$1,071.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.54 / $601.28 / $969.84	Facility		$514.54	$601.28	$969.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $420.62 / $793.19	Professional		$198.74	$420.62	$793.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $189.89 / $314.77	Facility		$105.00	$189.89	$314.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.20 / $245.08 / $5,639.00	Facility		$110.20	$245.08	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.99 / $680.73 / $1,183.02	Professional		$224.99	$680.73	$1,183.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $268.59 / $425.37	Professional		$85.00	$268.59	$425.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $189.89 / $314.77	Facility		$105.00	$189.89	$314.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.81 / $451.87 / $699.92	Professional		$273.81	$451.87	$699.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $808.62 / $808.62 / $808.62	Facility		$808.62	$808.62	$808.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.40 / $811.44 / $1,409.04	Professional		$161.40	$811.44	$1,409.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $411.20 / $411.20 / $700.42	Professional		$411.20	$411.20	$700.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $559.30 / $592.21 / $968.44	Professional		$559.30	$592.21	$968.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.76 / $567.41 / $990.24	Professional		$218.76	$567.41	$990.24