Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.51 / $255.51 / $487.94	Facility		$255.51	$255.51	$487.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $166.83 / $255.51	Professional		$126.40	$166.83	$255.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,562.00 / $2,961.00 / $4,776.00	Facility		$2,562.00	$2,961.00	$4,776.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $199.03 / $593.35	Professional		$128.78	$199.03	$593.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.26 / $433.85 / $699.78	Facility		$371.26	$433.85	$699.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $340.46 / $641.45	Professional		$169.38	$340.46	$641.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $168.41 / $298.95	Facility		$127.29	$168.41	$298.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $168.38 / $298.95	Facility		$127.29	$168.38	$298.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $344.50 / $935.19	Professional		$155.76	$344.50	$935.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $106.43 / $260.50	Professional		$56.22	$106.43	$260.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $170.35 / $298.95	Facility		$127.29	$170.35	$298.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.14 / $301.58 / $444.02	Professional		$211.14	$301.58	$444.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $591.88 / $591.88 / $591.88	Facility		$591.88	$591.88	$591.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $726.40 / $935.19	Professional		$196.04	$726.40	$935.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.42 / $181.42 / $181.42	Professional		$181.42	$181.42	$181.42
Security Health Facility/Professional Facility Modifier Low / Median / High Price $462.41 / $2,561.10 / $3,109.51	Facility		$462.41	$2,561.10	$3,109.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $698.22 / $698.22	Professional		$294.83	$698.22	$698.22
United Facility/Professional Professional Modifier Low / Median / High Price $157.09 / $300.73 / $544.79	Professional		$157.09	$300.73	$544.79