Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $122.01 / $14,482.00	Facility		$42.93	$122.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $122.01 / $165.08	Professional		$42.93	$122.01	$165.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $231.68 / $646.78	Professional		$96.47	$231.68	$646.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.47 / $442.27 / $713.37	Facility		$378.47	$442.27	$713.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $231.26 / $503.07	Professional		$99.45	$231.26	$503.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $122.01 / $219.04	Facility		$46.38	$122.01	$219.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $216.77 / $1,789.00	Facility		$51.02	$216.77	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $448.90 / $716.58	Professional		$174.79	$448.90	$716.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $148.14 / $315.53	Professional		$75.52	$148.14	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $122.01 / $219.04	Facility		$46.38	$122.01	$219.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $189.82 / $482.63	Professional		$118.31	$189.82	$482.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.66 / $234.66 / $234.66	Facility		$234.66	$234.66	$234.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $366.14 / $1,057.75	Professional		$96.79	$366.14	$1,057.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $94.86 / $278.08	Professional		$94.86	$94.86	$278.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $271.45 / $529.17	Professional		$186.51	$271.45	$529.17
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 $172.95 / $448.90 / $678.57	Professional		$172.95	$448.90	$678.57