Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $203.99 / $14,482.00	Facility		$59.59	$203.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $202.51 / $272.49	Professional		$59.59	$202.51	$272.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $355.26 / $1,099.84	Professional		$133.90	$355.26	$1,099.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.49 / $740.28 / $1,194.05	Facility		$633.49	$740.28	$1,194.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $289.19 / $838.85	Professional		$135.13	$289.19	$838.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $168.38 / $383.98	Facility		$64.59	$168.38	$383.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $360.95 / $1,789.00	Facility		$71.06	$360.95	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.37 / $750.52 / $1,202.21	Professional		$304.37	$750.52	$1,202.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $258.38 / $551.40	Professional		$85.00	$258.38	$551.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $168.38 / $383.98	Facility		$64.59	$168.38	$383.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $296.10 / $799.46	Professional		$164.11	$296.10	$799.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $325.45 / $325.45 / $325.45	Facility		$325.45	$325.45	$325.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $625.98 / $1,740.80	Professional		$135.63	$625.98	$1,740.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $132.09 / $450.47	Professional		$132.09	$132.09	$450.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $261.32 / $475.86 / $883.47	Professional		$261.32	$475.86	$883.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $293.35 / $750.52 / $1,152.83	Professional		$293.35	$750.52	$1,152.83