Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $137.38 / $522.98	Facility		$58.82	$137.38	$522.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $137.38 / $328.13	Professional		$58.82	$137.38	$328.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $166.39 / $350.64	Professional		$93.03	$166.39	$350.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $738.85	Facility		$391.99	$458.07	$738.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $225.84 / $479.63	Professional		$106.71	$225.84	$479.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $127.32 / $280.39	Facility		$58.82	$127.32	$280.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $190.81 / $5,261.00	Facility		$65.14	$190.81	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.85 / $425.61 / $904.63	Professional		$151.85	$425.61	$904.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $192.79 / $338.03	Professional		$76.43	$192.79	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $126.92 / $280.39	Facility		$58.82	$126.92	$280.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $266.47 / $478.91	Professional		$149.61	$266.47	$478.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $449.88 / $449.88 / $449.88	Facility		$449.88	$449.88	$449.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $546.69 / $1,071.76	Professional		$98.14	$546.69	$1,071.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $211.87 / $359.57 / $824.45	Professional		$211.87	$359.57	$824.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $376.57 / $648.95	Professional		$140.30	$376.57	$648.95