Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $198.38 / $1,894.00	Facility		$45.57	$198.38	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $86.26 / $234.99	Professional		$45.57	$86.26	$234.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $197.71 / $457.01	Professional		$90.52	$197.71	$457.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $314.86 / $507.85	Facility		$269.43	$314.86	$507.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $189.28 / $334.14	Professional		$101.91	$189.28	$334.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $86.26 / $197.54	Facility		$45.57	$86.26	$197.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $153.85 / $1,778.00	Facility		$54.42	$153.85	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $313.72 / $514.57	Professional		$120.08	$313.72	$514.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $163.16 / $250.69	Professional		$59.63	$163.16	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $86.26 / $197.54	Facility		$45.57	$86.26	$197.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $212.69 / $339.51	Professional		$125.94	$212.69	$339.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $249.77 / $249.77 / $249.77	Facility		$249.77	$249.77	$249.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $405.28 / $751.52	Professional		$103.99	$405.28	$751.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $204.73 / $378.66	Professional		$187.90	$204.73	$378.66
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 $112.96 / $268.43 / $415.68	Professional		$112.96	$268.43	$415.68