Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $373.64 / $4,039.70	Facility		$168.65	$373.64	$4,039.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $168.65 / $567.86	Professional		$143.47	$168.65	$567.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $440.97 / $920.97	Professional		$174.98	$440.97	$920.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.41 / $570.74 / $920.59	Facility		$488.41	$570.74	$920.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.83 / $462.80 / $726.91	Professional		$248.83	$462.80	$726.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $194.18 / $357.03	Facility		$136.50	$194.18	$357.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $235.44 / $8,129.86	Facility		$136.50	$235.44	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $446.29 / $1,161.11	Professional		$174.31	$446.29	$1,161.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $192.65 / $423.84	Professional		$85.00	$192.65	$423.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $194.18 / $357.03	Facility		$136.50	$194.18	$357.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.73 / $443.68 / $621.16	Professional		$347.73	$443.68	$621.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $734.64 / $734.64 / $734.64	Facility		$734.64	$734.64	$734.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $780.03 / $1,369.84	Professional		$241.34	$780.03	$1,369.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $845.44 / $1,001.92	Professional		$363.08	$845.44	$1,001.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $397.60 / $688.32	Professional		$170.34	$397.60	$688.32