Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $361.15 / $3,119.00	Facility		$159.96	$361.15	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $159.96 / $463.24	Professional		$128.12	$159.96	$463.24
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 $169.04 / $414.92 / $864.02	Professional		$169.04	$414.92	$864.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.09 / $552.84 / $891.71	Facility		$473.09	$552.84	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $437.31 / $698.04	Professional		$235.10	$437.31	$698.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $192.61 / $345.10	Facility		$157.19	$192.61	$345.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $227.44 / $8,129.86	Facility		$159.96	$227.44	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $377.26 / $852.10	Professional		$164.57	$377.26	$852.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $215.88 / $374.37	Professional		$84.56	$215.88	$374.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $192.10 / $345.10	Facility		$150.69	$192.10	$345.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $329.63 / $418.97 / $600.73	Professional		$329.63	$418.97	$600.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $694.04 / $694.04 / $694.04	Facility		$694.04	$694.04	$694.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $658.45 / $1,555.00	Professional		$228.04	$658.45	$1,555.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $798.84 / $968.25	Professional		$329.41	$798.84	$968.25
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 $160.51 / $429.65 / $664.95	Professional		$160.51	$429.65	$664.95