Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $58.96 / $14,482.00	Facility		$58.96	$58.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $60.92 / $112.37	Professional		$58.96	$60.92	$112.37
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 $90.87 / $154.19 / $347.04	Professional		$90.87	$154.19	$347.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $321.17 / $492.69	Facility		$274.83	$321.17	$492.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $164.03 / $186.40	Professional		$115.50	$164.03	$186.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $96.18 / $216.41	Facility		$58.96	$96.18	$216.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $144.27 / $1,778.00	Facility		$68.98	$144.27	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $189.33 / $766.32	Professional		$107.19	$189.33	$766.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $336.65	Professional		$50.00	$58.40	$336.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $96.18 / $216.41	Facility		$58.96	$96.18	$216.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $247.68 / $339.69	Professional		$171.58	$247.68	$339.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $475.35 / $475.35 / $475.35	Facility		$475.35	$475.35	$475.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $430.88 / $456.05 / $766.32	Professional		$430.88	$456.05	$766.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $329.95 / $329.95 / $329.95	Professional		$329.95	$329.95	$329.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $399.56 / $665.18 / $665.18	Professional		$399.56	$665.18	$665.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $189.33 / $458.59	Professional		$107.19	$189.33	$458.59