Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $186.08 / $670.39	Facility		$61.11	$186.08	$670.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $89.56 / $421.00	Professional		$58.34	$89.56	$421.00
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 $84.04 / $201.01 / $416.04	Professional		$84.04	$201.01	$416.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.60 / $281.16 / $453.50	Facility		$240.60	$281.16	$453.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $188.44 / $307.56	Professional		$101.10	$188.44	$307.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $99.24 / $177.81	Facility		$60.98	$99.24	$177.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $119.36 / $1,778.00	Facility		$65.05	$119.36	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $255.20 / $435.02	Professional		$101.22	$255.20	$435.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $110.45 / $202.48	Professional		$41.98	$110.45	$202.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $99.24 / $177.81	Facility		$60.98	$99.24	$177.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $202.17 / $308.02	Professional		$130.41	$202.17	$308.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $258.85 / $258.85	Facility		$258.85	$258.85	$258.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $384.93 / $678.40	Professional		$92.02	$384.93	$678.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $73.64 / $118.80	Professional		$73.64	$73.64	$118.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $359.74 / $587.16	Professional		$88.37	$359.74	$587.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $255.20 / $375.27	Professional		$95.42	$255.20	$375.27