Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.29 / $353.56 / $14,482.00	Facility		$107.29	$353.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $196.27 / $315.68	Professional		$94.02	$196.27	$315.68
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 $139.78 / $346.34 / $1,052.57	Professional		$139.78	$346.34	$1,052.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.90 / $661.30 / $1,014.46	Facility		$565.90	$661.30	$1,014.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $359.10 / $876.94	Professional		$155.32	$359.10	$876.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $202.20 / $358.09	Facility		$96.99	$202.20	$358.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $209.72 / $3,242.00	Facility		$96.92	$209.72	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $629.34 / $1,565.36	Professional		$219.42	$629.34	$1,565.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $326.33 / $501.39	Professional		$85.00	$326.33	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $202.20 / $358.09	Facility		$96.99	$202.20	$358.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $416.00 / $726.78	Professional		$217.99	$416.00	$726.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $680.40 / $680.40	Facility		$166.80	$680.40	$680.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $703.54 / $1,565.36	Professional		$185.60	$703.54	$1,565.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $351.41 / $647.91 / $1,070.76	Professional		$351.41	$647.91	$1,070.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $422.08 / $928.22	Professional		$219.42	$422.08	$928.22