Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.48 / $228.02 / $1,894.00	Facility		$101.48	$228.02	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $146.03 / $610.94	Professional		$103.62	$146.03	$610.94
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 $136.43 / $248.53 / $631.08	Professional		$136.43	$248.53	$631.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $483.34 / $741.46	Facility		$413.61	$483.34	$741.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $388.71 / $694.00	Professional		$181.25	$388.71	$694.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $162.13 / $302.38	Facility		$107.53	$162.13	$302.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.73 / $210.24 / $3,326.00	Facility		$118.73	$210.24	$3,326.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $302.80 / $1,119.27	Professional		$171.90	$302.80	$1,119.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $217.17 / $471.36	Professional		$105.16	$217.17	$471.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $161.19 / $302.38	Facility		$107.53	$161.19	$302.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $377.17 / $549.73	Professional		$264.06	$377.17	$549.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $172.15 / $532.86	Facility		$172.15	$172.15	$532.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.55 / $663.80 / $1,176.08	Professional		$246.55	$663.80	$1,176.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $440.64 / $641.90 / $914.48	Professional		$440.64	$641.90	$914.48
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 $161.24 / $275.66 / $652.82	Professional		$161.24	$275.66	$652.82