Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.86 / $370.51 / $1,894.00	Facility		$150.86	$370.51	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $182.99 / $588.66	Professional		$143.72	$182.99	$588.66
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 $180.99 / $432.70 / $940.52	Professional		$180.99	$432.70	$940.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.58 / $547.58 / $883.22	Facility		$468.58	$547.58	$883.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.66 / $439.55 / $660.53	Professional		$228.66	$439.55	$660.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $196.32 / $291.50	Facility		$147.00	$196.32	$291.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $281.91 / $4,130.00	Facility		$147.00	$281.91	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $565.65 / $1,052.48	Professional		$201.70	$565.65	$1,052.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $235.45 / $497.71	Professional		$85.00	$235.45	$497.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $196.32 / $291.50	Facility		$147.00	$196.32	$291.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.77 / $444.37 / $607.07	Professional		$310.77	$444.37	$607.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $659.20 / $659.20 / $659.20	Facility		$659.20	$659.20	$659.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.87 / $754.97 / $1,332.40	Professional		$195.87	$754.97	$1,332.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $383.26 / $383.26 / $481.27	Professional		$383.26	$383.26	$481.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $486.77 / $680.48 / $868.51	Professional		$486.77	$680.48	$868.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.11 / $521.34 / $832.20	Professional		$200.11	$521.34	$832.20