Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $57.89 / $14,482.00	Facility		$57.89	$57.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $85.70 / $148.46	Professional		$57.89	$85.70	$148.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $202.90 / $455.72	Professional		$89.41	$202.90	$455.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $361.84	Facility		$201.85	$235.88	$361.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $121.02 / $151.96	Professional		$87.68	$121.02	$151.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $89.11 / $617.64	Facility		$57.89	$89.11	$617.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $250.80 / $1,789.00	Facility		$63.68	$250.80	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $131.94 / $304.01	Professional		$73.20	$131.94	$304.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $268.44	Professional		$50.00	$55.00	$268.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $89.11 / $617.64	Facility		$57.89	$89.11	$617.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $222.53 / $317.89	Professional		$144.43	$222.53	$317.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $175.84 / $437.49 / $437.49	Facility		$175.84	$437.49	$437.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.65 / $395.64 / $703.44	Professional		$204.65	$395.64	$703.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $138.66 / $138.66	Professional		$138.66	$138.66	$138.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $328.40 / $328.40 / $328.40	Professional		$328.40	$328.40	$328.40
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 $65.34 / $111.81 / $267.79	Professional		$65.34	$111.81	$267.79