Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.51 / $200.41 / $2,329.19	Facility		$91.51	$200.41	$2,329.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $153.66 / $523.45	Professional		$91.51	$153.66	$523.45
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 $141.12 / $224.11 / $564.41	Professional		$141.12	$224.11	$564.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.34 / $507.56 / $778.61	Facility		$434.34	$507.56	$778.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $382.14 / $725.00	Professional		$166.10	$382.14	$725.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $161.86 / $318.33	Facility		$95.41	$161.86	$318.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $195.26 / $3,034.00	Facility		$99.80	$195.26	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $338.02 / $1,216.32	Professional		$186.92	$338.02	$1,216.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $166.84 / $374.37	Professional		$95.74	$166.84	$374.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $161.86 / $318.33	Facility		$95.41	$161.86	$318.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $225.76 / $349.96 / $535.12	Professional		$225.76	$349.96	$535.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $448.11 / $448.11 / $763.85	Facility		$448.11	$448.11	$763.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $693.45 / $1,216.32	Professional		$220.78	$693.45	$1,216.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $435.93 / $572.19 / $955.32	Professional		$435.93	$572.19	$955.32
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 $182.68 / $323.74 / $721.09	Professional		$182.68	$323.74	$721.09