Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $14,482.00	Facility		$54.52	$54.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $60.32 / $375.27	Professional		$54.52	$60.32	$375.27
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 $83.98 / $142.59 / $320.73	Professional		$83.98	$142.59	$320.73
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 $54.52 / $89.60 / $201.60	Facility		$54.52	$89.60	$201.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $134.40 / $1,778.00	Facility		$63.79	$134.40	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $174.40 / $708.56	Professional		$99.05	$174.40	$708.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $310.66	Professional		$50.00	$58.40	$310.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $89.60 / $201.60	Facility		$54.52	$89.60	$201.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.32 / $229.54 / $314.80	Professional		$158.32	$229.54	$314.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $440.53 / $440.53 / $440.53	Facility		$440.53	$440.53	$440.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.61 / $423.15 / $708.56	Professional		$398.61	$423.15	$708.56
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 $99.05 / $174.40 / $427.41	Professional		$99.05	$174.40	$427.41