Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $317.02 / $3,586.05	Facility		$78.72	$317.02	$3,586.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $175.36 / $450.69	Professional		$78.72	$175.36	$450.69
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 $112.27 / $192.79 / $500.29	Professional		$112.27	$192.79	$500.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.30 / $561.27 / $860.99	Facility		$480.30	$561.27	$860.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $345.37 / $798.86	Professional		$157.78	$345.37	$798.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $166.04 / $372.66	Facility		$79.06	$166.04	$372.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $183.61 / $2,951.70	Facility		$82.94	$183.61	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $406.54 / $1,410.78	Professional		$204.71	$406.54	$1,410.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $251.07 / $551.65	Professional		$124.51	$251.07	$551.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $166.04 / $372.66	Facility		$79.06	$166.04	$372.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.32 / $352.62 / $631.79	Professional		$214.32	$352.62	$631.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $525.10 / $525.10 / $763.85	Facility		$525.10	$525.10	$763.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.38 / $734.44 / $1,410.78	Professional		$200.38	$734.44	$1,410.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $294.36 / $497.70 / $1,052.63	Professional		$294.36	$497.70	$1,052.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $3,088.30 / $4,985.00	Facility		$1,944.00	$3,088.30	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $364.97 / $790.26	Professional		$194.85	$364.97	$790.26