Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.50 / $297.43 / $3,119.00	Facility		$138.50	$297.43	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $142.50 / $538.55	Professional		$110.75	$142.50	$538.55
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 $140.72 / $354.03 / $713.66	Professional		$140.72	$354.03	$713.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.09 / $457.02 / $737.15	Facility		$391.09	$457.02	$737.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $378.32 / $579.89	Professional		$203.79	$378.32	$579.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.36 / $158.63 / $284.20	Facility		$127.36	$158.63	$284.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.36 / $248.93 / $1,778.00	Facility		$127.36	$248.93	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $334.69 / $947.12	Professional		$137.35	$334.69	$947.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $163.16 / $316.46	Professional		$70.00	$163.16	$316.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.36 / $158.63 / $284.20	Facility		$127.36	$158.63	$284.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $286.63 / $345.49 / $497.39	Professional		$286.63	$345.49	$497.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $600.44 / $600.44 / $600.44	Facility		$600.44	$600.44	$600.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $197.29 / $571.65 / $1,092.00	Professional		$197.29	$571.65	$1,092.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $312.72 / $691.14 / $799.78	Professional		$312.72	$691.14	$799.78
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 $132.19 / $300.88 / $540.10	Professional		$132.19	$300.88	$540.10