Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $262.44 / $3,119.00	Facility		$117.32	$262.44	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $186.09 / $630.00	Professional		$117.32	$186.09	$630.00
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 $157.71 / $287.31 / $725.73	Professional		$157.71	$287.31	$725.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.65 / $610.76 / $936.92	Facility		$522.65	$610.76	$936.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $474.38 / $871.46	Professional		$208.90	$474.38	$871.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $193.48 / $369.68	Facility		$117.32	$193.48	$369.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.15 / $247.80 / $2,951.70	Facility		$124.15	$247.80	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $409.73 / $2,563.92	Professional		$199.45	$409.73	$2,563.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $178.55 / $414.04	Professional		$96.65	$178.55	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $193.48 / $369.68	Facility		$117.32	$193.48	$369.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $434.48 / $652.04	Professional		$289.83	$434.48	$652.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $885.84 / $885.84 / $982.04	Facility		$885.84	$885.84	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.57 / $833.54 / $2,563.92	Professional		$284.57	$833.54	$2,563.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $428.42 / $737.57 / $1,148.35	Professional		$428.42	$737.57	$1,148.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.42 / $3,068.00 / $4,295.00	Facility		$2,276.42	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.61 / $343.53 / $821.30	Professional		$187.61	$343.53	$821.30