Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $251.24 / $768.95	Facility		$145.38	$251.24	$768.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $157.15 / $560.24	Professional		$119.37	$157.15	$560.24
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 $145.27 / $306.39 / $552.82	Professional		$145.27	$306.39	$552.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $738.85	Facility		$391.99	$458.07	$738.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $363.26 / $507.86	Professional		$198.17	$363.26	$507.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.35 / $178.64 / $295.30	Facility		$137.35	$178.64	$295.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.99 / $240.07 / $4,130.00	Facility		$133.99	$240.07	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $432.92 / $936.40	Professional		$176.06	$432.92	$936.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $203.56 / $412.86	Professional		$85.00	$203.56	$412.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.35 / $178.64 / $295.30	Facility		$137.35	$178.64	$295.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $290.41 / $394.52 / $510.90	Professional		$290.41	$394.52	$510.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $596.47 / $596.47 / $596.47	Facility		$596.47	$596.47	$596.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $635.63 / $3,020.93	Professional		$177.96	$635.63	$3,020.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $226.51 / $275.49	Professional		$226.51	$226.51	$275.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $402.65 / $471.10	Professional		$297.39	$402.65	$471.10
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 $173.93 / $382.00 / $635.20	Professional		$173.93	$382.00	$635.20