Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $361.49 / $1,894.00	Facility		$103.21	$361.49	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $161.30 / $658.56	Professional		$104.59	$161.30	$658.56
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 $138.74 / $252.75 / $647.13	Professional		$138.74	$252.75	$647.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $543.36 / $833.53	Facility		$464.98	$543.36	$833.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $431.66 / $776.38	Professional		$184.08	$431.66	$776.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $176.42 / $332.70	Facility		$109.42	$176.42	$332.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.76 / $220.98 / $3,034.00	Facility		$118.76	$220.98	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $337.92 / $1,253.44	Professional		$185.10	$337.92	$1,253.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $164.41 / $398.36	Professional		$95.74	$164.41	$398.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $176.42 / $332.70	Facility		$109.42	$176.42	$332.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $400.53 / $603.70	Professional		$266.95	$400.53	$603.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $209.36 / $209.36 / $529.82	Facility		$209.36	$209.36	$529.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $742.59 / $1,307.28	Professional		$252.60	$742.59	$1,307.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $485.78 / $651.73 / $1,023.07	Professional		$485.78	$651.73	$1,023.07
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 $176.48 / $311.16 / $711.98	Professional		$176.48	$311.16	$711.98