Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $279.72 / $1,894.00	Facility		$80.33	$279.72	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $138.13 / $292.45	Professional		$80.33	$138.13	$292.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $278.37 / $733.00	Professional		$126.06	$278.37	$733.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.15 / $424.37 / $684.50	Facility		$363.15	$424.37	$684.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $283.18 / $488.93	Professional		$135.33	$283.18	$488.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $139.79 / $279.01	Facility		$80.33	$139.79	$279.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.35 / $219.80 / $3,995.00	Facility		$93.35	$219.80	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $363.53 / $863.69	Professional		$133.97	$363.53	$863.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $148.14 / $298.35	Professional		$77.22	$148.14	$298.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $139.79 / $279.01	Facility		$80.33	$139.79	$279.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $309.89 / $480.01	Professional		$183.05	$309.89	$480.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $466.80 / $466.80 / $466.80	Facility		$466.80	$466.80	$466.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $385.90 / $1,832.00	Professional		$111.04	$385.90	$1,832.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $450.23 / $471.18 / $813.55	Professional		$450.23	$471.18	$813.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $3,068.00 / $4,295.00	Facility		$1,944.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.06 / $367.52 / $639.83	Professional		$136.06	$367.52	$639.83