Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $256.33 / $1,894.00	Facility		$90.02	$256.33	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $113.39 / $289.45	Professional		$84.85	$113.39	$289.45
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 $112.44 / $284.45 / $589.46	Professional		$112.44	$284.45	$589.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.71 / $386.46 / $623.35	Facility		$330.71	$386.46	$623.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $262.75 / $423.84	Professional		$137.11	$262.75	$423.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $126.00 / $244.95	Facility		$90.02	$126.00	$244.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $159.47 / $1,778.00	Facility		$96.69	$159.47	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $334.54 / $621.91	Professional		$129.21	$334.54	$621.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $147.02 / $323.47	Professional		$78.44	$147.02	$323.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $126.00 / $244.95	Facility		$90.02	$126.00	$244.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.96 / $287.31 / $423.82	Professional		$192.96	$287.31	$423.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $391.72 / $391.72 / $391.72	Facility		$391.72	$391.72	$391.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $530.46 / $933.76	Professional		$127.75	$530.46	$933.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $447.52 / $681.38	Professional		$225.55	$447.52	$681.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $305.29 / $502.16	Professional		$125.07	$305.29	$502.16