Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.15 / $462.19 / $2,778.94	Facility		$116.15	$462.19	$2,778.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $175.46 / $662.72	Professional		$110.64	$175.46	$662.72
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 $163.66 / $316.82 / $663.97	Professional		$163.66	$316.82	$663.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.02 / $585.48 / $944.37	Facility		$501.02	$585.48	$944.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $413.66 / $637.79	Professional		$207.33	$413.66	$637.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $110.85 / $175.46 / $362.96	Facility		$110.85	$175.46	$362.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $252.84 / $3,995.00	Facility		$116.59	$252.84	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $563.98 / $1,199.69	Professional		$210.98	$563.98	$1,199.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $250.48 / $443.01	Professional		$83.91	$250.48	$443.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $175.46 / $362.96	Facility		$89.68	$175.46	$362.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $425.81 / $625.86	Professional		$289.83	$425.81	$625.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $889.98 / $889.98 / $889.98	Facility		$889.98	$889.98	$889.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $793.76 / $1,384.24	Professional		$176.43	$793.76	$1,384.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.43 / $711.09 / $1,059.24	Professional		$397.43	$711.09	$1,059.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,068.00 / $4,295.00	Facility		$2,257.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.58 / $563.98 / $870.43	Professional		$195.58	$563.98	$870.43