Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $618.10 / $3,304.00	Facility		$104.30	$618.10	$3,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $164.66 / $914.98	Professional		$104.30	$164.66	$914.98
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 $140.21 / $255.42 / $647.25	Professional		$140.21	$255.42	$647.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.96 / $522.29 / $801.23	Facility		$446.96	$522.29	$801.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.62 / $407.55 / $748.29	Professional		$184.62	$407.55	$748.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $169.16 / $337.24	Facility		$105.00	$169.16	$337.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $220.46 / $2,951.70	Facility		$109.87	$220.46	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.11 / $371.00 / $1,256.56	Professional		$190.11	$371.00	$1,256.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $166.84 / $392.08	Professional		$95.74	$166.84	$392.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $169.16 / $337.24	Facility		$105.00	$169.16	$337.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $382.88 / $564.35	Professional		$258.52	$382.88	$564.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $513.16 / $763.85	Facility		$513.16	$513.16	$763.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $715.73 / $1,256.56	Professional		$264.20	$715.73	$1,256.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.82 / $656.21 / $986.01	Professional		$380.82	$656.21	$986.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $334.80 / $758.68	Professional		$179.07	$334.80	$758.68