Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.84 / $183.31 / $434.68	Facility		$93.84	$183.31	$434.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $120.13 / $408.94	Professional		$89.18	$120.13	$408.94
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 $113.45 / $265.88 / $600.57	Professional		$113.45	$265.88	$600.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.49 / $367.51 / $592.78	Facility		$314.49	$367.51	$592.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $289.58 / $427.30	Professional		$141.47	$289.58	$427.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $127.33 / $233.06	Facility		$73.50	$127.33	$233.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $175.16 / $1,778.00	Facility		$89.62	$175.16	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $351.96 / $654.96	Professional		$126.48	$351.96	$654.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $145.34 / $295.74	Professional		$59.63	$145.34	$295.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $126.79 / $233.06	Facility		$53.38	$126.79	$233.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $280.02 / $399.09	Professional		$192.20	$280.02	$399.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $413.12 / $413.12	Facility		$413.12	$413.12	$413.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $500.04 / $873.44	Professional		$123.33	$500.04	$873.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $259.07 / $428.46 / $575.23	Professional		$259.07	$428.46	$575.23
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 $117.53 / $312.93 / $501.94	Professional		$117.53	$312.93	$501.94