Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $341.51 / $1,894.00	Facility		$120.45	$341.51	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $150.62 / $387.31	Professional		$113.98	$150.62	$387.31
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 $146.96 / $372.56 / $792.91	Professional		$146.96	$372.56	$792.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.45 / $517.04 / $833.96	Facility		$442.45	$517.04	$833.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $373.75 / $566.19	Professional		$183.90	$373.75	$566.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $179.74 / $326.33	Facility		$120.45	$179.74	$326.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.69 / $213.27 / $1,778.00	Facility		$129.69	$213.27	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $446.26 / $836.64	Professional		$170.08	$446.26	$836.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $194.90 / $414.04	Professional		$85.00	$194.90	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $179.74 / $326.33	Facility		$120.45	$179.74	$326.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $384.70 / $566.60	Professional		$260.08	$384.70	$566.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $527.67 / $527.67 / $527.67	Facility		$527.67	$527.67	$527.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $708.62 / $1,249.11	Professional		$171.52	$708.62	$1,249.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $600.88 / $910.19	Professional		$301.92	$600.88	$910.19
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 $168.73 / $410.78 / $658.12	Professional		$168.73	$410.78	$658.12