Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.92 / $342.05 / $7,729.80	Facility		$125.92	$342.05	$7,729.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $132.94 / $458.35	Professional		$101.47	$132.94	$458.35
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 $144.25 / $366.61 / $770.04	Professional		$144.25	$366.61	$770.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.46 / $527.57 / $850.95	Facility		$451.46	$527.57	$850.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $344.16 / $584.36	Professional		$186.21	$344.16	$584.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $116.15 / $182.42 / $311.57	Facility		$116.15	$182.42	$311.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.51 / $233.48 / $8,129.86	Facility		$124.51	$233.48	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $314.42 / $809.96	Professional		$146.16	$314.42	$809.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $152.02 / $338.03	Professional		$77.22	$152.02	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.15 / $182.42 / $311.57	Facility		$116.15	$182.42	$311.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.18 / $380.59 / $560.98	Professional		$266.18	$380.59	$560.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $545.96 / $545.96 / $545.96	Facility		$545.96	$545.96	$545.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $517.35 / $1,581.00	Professional		$179.48	$517.35	$1,581.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.82 / $628.73 / $917.83	Professional		$256.82	$628.73	$917.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $340.88 / $597.54	Professional		$149.46	$340.88	$597.54