Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.41 / $400.04 / $5,357.12	Facility		$119.41	$400.04	$5,357.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $133.34 / $534.00	Professional		$94.51	$133.34	$534.00
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 $136.80 / $337.36 / $712.60	Professional		$136.80	$337.36	$712.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.22 / $487.55 / $786.41	Facility		$417.22	$487.55	$786.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $326.83 / $541.30	Professional		$176.33	$326.83	$541.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.74 / $153.66 / $294.70	Facility		$109.74	$153.66	$294.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $189.17 / $3,995.00	Facility		$117.21	$189.17	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $325.31 / $816.56	Professional		$134.19	$325.31	$816.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $148.14 / $338.03	Professional		$77.22	$148.14	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.74 / $153.66 / $294.70	Facility		$109.74	$153.66	$294.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $350.35 / $516.01	Professional		$247.86	$350.35	$516.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $518.08 / $518.08 / $518.08	Facility		$518.08	$518.08	$518.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $487.20 / $1,152.96	Professional		$170.44	$487.20	$1,152.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.59 / $597.05 / $849.32	Professional		$247.59	$597.05	$849.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $281.01 / $535.35	Professional		$124.46	$281.01	$535.35