Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $272.00 / $1,894.00	Facility		$95.40	$272.00	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $118.59 / $396.03	Professional		$89.68	$118.59	$396.03
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 $119.17 / $301.08 / $625.19	Professional		$119.17	$301.08	$625.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.54 / $409.63 / $660.72	Facility		$350.54	$409.63	$660.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $296.88 / $449.19	Professional		$146.53	$296.88	$449.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $144.27 / $259.91	Facility		$95.40	$144.27	$259.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $176.77 / $1,778.00	Facility		$98.40	$176.77	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $351.49 / $663.44	Professional		$134.63	$351.49	$663.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $154.00 / $326.70	Professional		$78.44	$154.00	$326.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $144.27 / $259.91	Facility		$95.40	$144.27	$259.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $306.08 / $450.80	Professional		$206.69	$306.08	$450.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $418.04 / $418.04 / $418.04	Facility		$418.04	$418.04	$418.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $562.19 / $990.00	Professional		$136.22	$562.19	$990.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $306.12 / $477.25 / $722.10	Professional		$306.12	$477.25	$722.10
United Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,370.00 / $2,202.90	Facility		$953.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $134.61 / $264.33 / $526.59	Professional		$134.61	$264.33	$526.59