Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $421.65 / $14,482.00	Facility		$139.13	$421.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $181.49 / $363.60	Professional		$119.18	$181.49	$363.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $389.77 / $1,056.43	Professional		$156.66	$389.77	$1,056.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.19 / $647.61 / $993.46	Facility		$554.19	$647.61	$993.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $411.96 / $810.00	Professional		$171.30	$411.96	$810.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $198.80 / $360.99	Facility		$125.97	$198.80	$360.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $212.29 / $1,023.75	Facility		$125.97	$212.29	$1,023.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $645.51 / $1,540.72	Professional		$194.62	$645.51	$1,540.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $244.79 / $439.36	Professional		$85.00	$244.79	$439.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $200.49 / $367.91	Facility		$125.97	$200.49	$367.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $451.64 / $699.53	Professional		$278.58	$451.64	$699.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $897.18 / $1,504.00	Facility		$213.62	$897.18	$1,504.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.21 / $881.24 / $1,540.72	Professional		$201.21	$881.24	$1,540.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $637.73 / $1,051.76	Professional		$433.36	$637.73	$1,051.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $194.27 / $416.76 / $877.05	Professional		$194.27	$416.76	$877.05