Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $276.17 / $1,894.00	Facility		$76.73	$276.17	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $152.59 / $438.25	Professional		$76.73	$152.59	$438.25
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 $120.77 / $291.38 / $757.80	Professional		$120.77	$291.38	$757.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.20 / $466.49 / $752.44	Facility		$399.20	$466.49	$752.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $267.30 / $537.21	Professional		$125.70	$267.30	$537.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $148.07 / $291.83	Facility		$58.09	$148.07	$291.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.39 / $219.44 / $1,778.00	Facility		$71.39	$219.44	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $425.48 / $844.60	Professional		$151.65	$425.48	$844.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $177.80 / $338.03	Professional		$77.22	$177.80	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $148.07 / $291.83	Facility		$58.09	$148.07	$291.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.27 / $311.39 / $508.68	Professional		$173.27	$311.39	$508.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $352.96 / $352.96 / $352.96	Facility		$352.96	$352.96	$352.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.30 / $569.87 / $1,112.00	Professional		$115.30	$569.87	$1,112.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $387.07 / $444.76 / $893.89	Professional		$387.07	$444.76	$893.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $158.08 / $422.28 / $673.42	Professional		$158.08	$422.28	$673.42