Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $361.76 / $10,738.08	Facility		$129.01	$361.76	$10,738.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $164.05 / $710.48	Professional		$121.92	$164.05	$710.48
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 $161.15 / $402.91 / $849.73	Professional		$161.15	$402.91	$849.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.78 / $545.47 / $879.82	Facility		$466.78	$545.47	$879.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $363.46 / $599.09	Professional		$197.42	$363.46	$599.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $192.94 / $345.68	Facility		$129.01	$192.94	$345.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $233.86 / $3,995.00	Facility		$139.22	$233.86	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $472.19 / $897.68	Professional		$180.78	$472.19	$897.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $206.81 / $424.42	Professional		$85.00	$206.81	$424.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $192.94 / $345.68	Facility		$129.01	$192.94	$345.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.91 / $411.95 / $601.45	Professional		$279.91	$411.95	$601.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $566.32 / $566.32 / $566.32	Facility		$566.32	$566.32	$566.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.98 / $749.79 / $1,322.40	Professional		$183.98	$749.79	$1,322.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.33 / $644.54 / $963.08	Professional		$402.33	$644.54	$963.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $406.45 / $704.34	Professional		$180.78	$406.45	$704.34