Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $221.00 / $1,894.00	Facility		$62.68	$221.00	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $93.96 / $406.00	Professional		$63.75	$93.96	$406.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $153.51 / $392.57	Professional		$84.26	$153.51	$392.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.60 / $281.16 / $431.31	Facility		$240.60	$281.16	$431.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $240.32 / $405.84	Professional		$109.53	$240.32	$405.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $98.22 / $184.48	Facility		$66.17	$98.22	$184.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $117.70 / $1,449.00	Facility		$71.91	$117.70	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $185.78 / $679.19	Professional		$104.40	$185.78	$679.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $84.02 / $172.47	Professional		$40.93	$84.02	$172.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $98.22 / $184.48	Facility		$66.17	$98.22	$184.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $217.27 / $315.89	Professional		$151.74	$217.27	$315.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $314.87 / $314.87 / $314.87	Facility		$314.87	$314.87	$314.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $388.17 / $687.36	Professional		$150.96	$388.17	$687.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.93 / $392.58 / $534.76	Professional		$275.93	$392.58	$534.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $176.06 / $398.78	Professional		$100.09	$176.06	$398.78