Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $152.46 / $337.48	Facility		$79.18	$152.46	$337.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $95.00 / $303.51	Professional		$75.76	$95.00	$303.51
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 $93.04 / $222.98 / $473.55	Professional		$93.04	$222.98	$473.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $279.05 / $450.10	Facility		$238.80	$279.05	$450.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $232.30 / $350.65	Professional		$120.16	$232.30	$350.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $105.00 / $180.94	Facility		$79.18	$105.00	$180.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $147.91 / $1,778.00	Facility		$84.16	$147.91	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $287.58 / $549.91	Professional		$103.08	$287.58	$549.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $110.45 / $249.67	Professional		$45.20	$110.45	$249.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $105.00 / $180.94	Facility		$79.18	$105.00	$180.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $229.84 / $311.39	Professional		$159.16	$229.84	$311.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $345.40 / $345.40	Facility		$345.40	$345.40	$345.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $383.54 / $675.12	Professional		$102.78	$383.54	$675.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.58 / $357.05 / $441.20	Professional		$227.58	$357.05	$441.20
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 $101.45 / $242.23 / $419.94	Professional		$101.45	$242.23	$419.94