Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $412.16 / $5,336.90	Facility		$151.68	$412.16	$5,336.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $201.19 / $584.82	Professional		$143.10	$201.19	$584.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $452.54 / $1,002.99	Professional		$188.56	$452.54	$1,002.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $621.29 / $1,002.12	Facility		$531.66	$621.29	$1,002.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.76 / $442.91 / $717.04	Professional		$225.76	$442.91	$717.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $216.84 / $393.84	Facility		$133.44	$216.84	$393.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.86 / $327.62 / $8,103.00	Facility		$144.86	$327.62	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.38 / $607.11 / $1,053.68	Professional		$221.38	$607.11	$1,053.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $251.23 / $479.20	Professional		$85.00	$251.23	$479.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $216.84 / $393.84	Facility		$129.63	$216.84	$393.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $462.00 / $674.52	Professional		$324.00	$462.00	$674.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $661.64 / $661.64 / $661.64	Facility		$661.64	$661.64	$661.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $197.17 / $849.24 / $1,931.70	Professional		$197.17	$849.24	$1,931.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $429.09 / $685.01 / $976.91	Professional		$429.09	$685.01	$976.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $572.77 / $919.56	Professional		$211.82	$572.77	$919.56