Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.61 / $259.45 / $1,894.00	Facility		$116.61	$259.45	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $175.06 / $627.52	Professional		$116.61	$175.06	$627.52
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 $156.76 / $285.57 / $725.87	Professional		$156.76	$285.57	$725.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.48 / $548.63 / $841.61	Facility		$469.48	$548.63	$841.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.51 / $441.60 / $788.19	Professional		$205.51	$441.60	$788.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $186.18 / $358.18	Facility		$123.44	$186.18	$358.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.43 / $232.72 / $3,034.00	Facility		$136.43	$232.72	$3,034.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $350.68 / $1,277.21	Professional		$196.72	$350.68	$1,277.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $217.17 / $482.35	Professional		$105.16	$217.17	$482.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.44 / $184.50 / $358.18	Facility		$123.44	$184.50	$358.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $422.67 / $616.05	Professional		$298.70	$422.67	$616.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $187.43 / $604.00	Facility		$187.43	$187.43	$604.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $282.98 / $753.89 / $1,337.84	Professional		$282.98	$753.89	$1,337.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $695.74 / $736.44 / $1,038.57	Professional		$695.74	$736.44	$1,038.57
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 $189.88 / $316.58 / $749.90	Professional		$189.88	$316.58	$749.90