Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $55.78 / $1,894.00	Facility		$23.06	$55.78	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $49.36 / $100.42	Professional		$23.06	$49.36	$100.42
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 $40.15 / $89.85 / $219.48	Professional		$40.15	$89.85	$219.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.40 / $187.44 / $287.54	Facility		$160.40	$187.44	$287.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $68.86 / $161.07	Professional		$30.74	$68.86	$161.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $65.41 / $161.25	Facility		$27.23	$65.41	$161.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $75.56 / $1,565.18	Facility		$29.07	$75.56	$1,565.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $105.78 / $240.56	Professional		$52.49	$105.78	$240.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $147.46	Professional		$39.56	$65.66	$147.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $65.41 / $161.25	Facility		$27.23	$65.41	$161.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $102.29 / $190.40	Professional		$61.02	$102.29	$190.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $69.91 / $128.84	Facility		$52.31	$69.91	$128.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $139.15 / $443.68	Professional		$35.38	$139.15	$443.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $118.11 / $257.32	Professional		$62.87	$118.11	$257.32
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 $49.39 / $85.87 / $227.79	Professional		$49.39	$85.87	$227.79