Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $309.87 / $1,894.00	Facility		$94.41	$309.87	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $147.40 / $589.30	Professional		$95.75	$147.40	$589.30
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 $126.92 / $231.20 / $591.47	Professional		$126.92	$231.20	$591.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.49 / $463.33 / $710.77	Facility		$396.49	$463.33	$710.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.82 / $370.39 / $664.31	Professional		$168.82	$370.39	$664.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $151.44 / $287.47	Facility		$100.12	$151.44	$287.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $192.26 / $3,034.00	Facility		$108.92	$192.26	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.49 / $288.33 / $1,069.51	Professional		$160.49	$288.33	$1,069.51
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 $100.12 / $151.44 / $287.47	Facility		$100.12	$151.44	$287.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.32 / $353.41 / $520.50	Professional		$246.32	$353.41	$520.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $172.15 / $488.97	Facility		$172.15	$172.15	$488.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.31 / $635.40 / $1,122.08	Professional		$230.31	$635.40	$1,122.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $598.91 / $875.40	Professional		$421.28	$598.91	$875.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $254.53 / $607.50	Professional		$151.22	$254.53	$607.50