Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.04 / $352.10 / $1,639.20	Facility		$205.04	$352.10	$1,639.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $144.13 / $569.00	Professional		$93.23	$144.13	$569.00
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 $138.19 / $370.86 / $855.51	Professional		$138.19	$370.86	$855.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.02 / $585.48 / $944.37	Facility		$501.02	$585.48	$944.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $371.17 / $634.29	Professional		$185.23	$371.17	$634.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $183.96 / $361.91	Facility		$109.91	$183.96	$361.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.90 / $226.24 / $1,778.00	Facility		$119.90	$226.24	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $395.49 / $898.77	Professional		$161.32	$395.49	$898.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $215.88 / $358.88	Professional		$84.56	$215.88	$358.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $181.24 / $361.91	Facility		$109.91	$181.24	$361.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $253.22 / $377.02 / $621.67	Professional		$253.22	$377.02	$621.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $522.04 / $522.04 / $522.04	Facility		$522.04	$522.04	$522.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.36 / $493.55 / $1,384.32	Professional		$188.36	$493.55	$1,384.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $599.82 / $1,019.66	Professional		$238.39	$599.82	$1,019.66
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 $160.35 / $375.23 / $657.77	Professional		$160.35	$375.23	$657.77