Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $236.79 / $543.67	Facility		$121.96	$236.79	$543.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $158.61 / $696.00	Professional		$113.73	$158.61	$696.00
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 $137.91 / $348.03 / $754.54	Professional		$137.91	$348.03	$754.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $738.85	Facility		$391.99	$458.07	$738.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.70 / $362.18 / $552.89	Professional		$179.70	$362.18	$552.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.76 / $158.78 / $291.50	Facility		$115.76	$158.78	$291.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $226.27 / $1,778.00	Facility		$121.96	$226.27	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $451.51 / $840.40	Professional		$159.41	$451.51	$840.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $168.25 / $324.01	Professional		$70.00	$168.25	$324.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $158.61 / $291.50	Facility		$105.24	$158.61	$291.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.13 / $348.65 / $496.90	Professional		$242.13	$348.65	$496.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Facility		$530.00	$530.00	$530.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.84 / $623.07 / $1,085.92	Professional		$158.84	$623.07	$1,085.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.83 / $551.82 / $716.74	Professional		$340.83	$551.82	$716.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $330.51 / $654.45	Professional		$144.00	$330.51	$654.45