Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $14,482.00	Facility		$55.88	$55.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $61.84 / $200.55	Professional		$55.88	$61.84	$200.55
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 $84.96 / $146.13 / $314.94	Professional		$84.96	$146.13	$314.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.92 / $299.06 / $458.77	Facility		$255.92	$299.06	$458.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $152.81 / $173.65	Professional		$108.00	$152.81	$173.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $89.60 / $201.60	Facility		$55.88	$89.60	$201.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $134.40 / $1,778.00	Facility		$65.38	$134.40	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $171.61 / $681.68	Professional		$97.75	$171.61	$681.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $304.56	Professional		$50.00	$58.40	$304.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $89.60 / $201.60	Facility		$55.88	$89.60	$201.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $220.86 / $302.89	Professional		$155.35	$220.86	$302.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $423.87 / $423.87 / $423.87	Facility		$423.87	$423.87	$423.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $383.45 / $416.10 / $681.68	Professional		$383.45	$416.10	$681.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $307.38 / $307.38 / $307.38	Professional		$307.38	$307.38	$307.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $372.21 / $619.66 / $619.66	Professional		$372.21	$619.66	$619.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $170.00 / $409.59	Professional		$97.75	$170.00	$409.59