Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $644.04 / $2,337.00	Facility		$75.11	$644.04	$2,337.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $141.87 / $515.98	Professional		$36.34	$141.87	$515.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $207.68 / $938.25	Professional		$54.21	$207.68	$938.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.60 / $568.64 / $755.76	Facility		$486.60	$568.64	$755.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $161.22 / $747.13	Professional		$53.24	$161.22	$747.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $98.21 / $308.27	Facility		$40.06	$98.21	$308.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $185.39 / $1,449.00	Facility		$40.92	$185.39	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $630.01 / $1,320.08	Professional		$162.12	$630.01	$1,320.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $156.16 / $395.19	Professional		$93.96	$156.16	$395.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $98.21 / $308.27	Facility		$40.06	$98.21	$308.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $187.04 / $590.51	Professional		$83.13	$187.04	$590.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $317.77 / $1,300.00	Facility		$94.13	$317.77	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $664.86 / $1,320.08	Professional		$91.44	$664.86	$1,320.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $268.43 / $912.26	Professional		$138.25	$268.43	$912.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $382.80 / $781.92	Professional		$168.20	$382.80	$781.92