Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $256.14 / $1,894.00	Facility		$97.67	$256.14	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $126.88 / $408.81	Professional		$97.67	$126.88	$408.81
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 $124.58 / $293.45 / $754.92	Professional		$124.58	$293.45	$754.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $381.20 / $614.86	Facility		$326.20	$381.20	$614.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $301.55 / $450.14	Professional		$151.61	$301.55	$450.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $135.53 / $200.07	Facility		$97.67	$135.53	$200.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.41 / $188.86 / $1,789.00	Facility		$105.41	$188.86	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.52 / $396.26 / $884.00	Professional		$142.52	$396.26	$884.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $165.34 / $345.98	Professional		$78.44	$165.34	$345.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $135.53 / $200.07	Facility		$97.67	$135.53	$200.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.98 / $306.58 / $442.18	Professional		$214.98	$306.58	$442.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $438.98 / $438.98 / $438.98	Facility		$438.98	$438.98	$438.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $480.05 / $933.52	Professional		$134.38	$480.05	$933.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.82 / $582.16 / $741.38	Professional		$549.82	$582.16	$741.38
United Facility/Professional Facility Modifier Low / Median / High Price $801.90 / $1,370.00 / $2,202.90	Facility		$801.90	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $365.22 / $598.80	Professional		$136.51	$365.22	$598.80