Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $204.87 / $1,894.00	Facility		$47.07	$204.87	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $133.31 / $311.20	Professional		$47.07	$133.31	$311.20
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 $89.90 / $211.29 / $587.89	Professional		$89.90	$211.29	$587.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.82 / $491.77 / $754.38	Facility		$420.82	$491.77	$754.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $162.58 / $458.88	Professional		$63.35	$162.58	$458.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $153.27 / $416.04	Facility		$55.61	$153.27	$416.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.42 / $174.49 / $3,641.00	Facility		$60.42	$174.49	$3,641.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $277.70 / $629.99	Professional		$140.86	$277.70	$629.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $126.96 / $290.37	Professional		$77.22	$126.96	$290.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $153.27 / $416.04	Facility		$55.61	$153.27	$416.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $199.81 / $504.90	Professional		$123.25	$199.81	$504.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $144.07 / $255.86	Facility		$107.80	$144.07	$255.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $288.50 / $1,152.48	Professional		$71.28	$288.50	$1,152.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $237.88 / $671.52	Professional		$109.77	$237.88	$671.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $247.68 / $576.64	Professional		$140.86	$247.68	$576.64