Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.63 / $358.45 / $5,325.08	Facility		$167.63	$358.45	$5,325.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $159.18 / $475.00	Professional		$78.37	$159.18	$475.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $300.89 / $868.29	Professional		$116.80	$300.89	$868.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $542.30 / $831.92	Facility		$464.08	$542.30	$831.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $295.48 / $722.59	Professional		$127.99	$295.48	$722.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.28 / $170.67 / $340.28	Facility		$84.28	$170.67	$340.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $176.10 / $3,242.00	Facility		$86.69	$176.10	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $593.65 / $2,229.16	Professional		$177.59	$593.65	$2,229.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $254.08 / $414.04	Professional		$85.00	$254.08	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $166.47 / $340.28	Facility		$83.62	$166.47	$340.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $338.33 / $588.24	Professional		$181.79	$338.33	$588.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $568.86 / $4,017.35	Facility		$140.38	$568.86	$4,017.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.61 / $739.22 / $2,229.16	Professional		$156.61	$739.22	$2,229.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $464.23 / $882.28	Professional		$311.75	$464.23	$882.28
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 $163.43 / $365.05 / $752.19	Professional		$163.43	$365.05	$752.19