Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.58 / $110.58 / $110.58	Facility		$110.58	$110.58	$110.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $110.58 / $129.58	Professional		$92.58	$110.58	$129.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $167.84 / $577.83	Professional		$98.79	$167.84	$577.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $315.91 / $484.61	Facility		$270.33	$315.91	$484.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $296.42 / $336.84	Professional		$166.44	$296.42	$336.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $117.85 / $229.68	Facility		$83.48	$117.85	$229.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $199.04 / $1,789.00	Facility		$93.91	$199.04	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $169.29 / $626.73	Professional		$92.19	$169.29	$626.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $277.58	Professional		$50.00	$85.00	$277.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $117.85 / $229.68	Facility		$83.48	$117.85	$229.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $243.74 / $334.28	Professional		$157.93	$243.74	$334.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.29 / $234.36 / $467.77	Facility		$148.29	$234.36	$467.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $491.00 / $626.73	Professional		$174.34	$491.00	$626.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $335.25 / $335.25 / $335.25	Professional		$335.25	$335.25	$335.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $408.85 / $713.95 / $713.95	Professional		$408.85	$713.95	$713.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $163.09 / $349.72	Professional		$94.76	$163.09	$349.72