Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $62.35 / $1,894.00	Facility		$25.54	$62.35	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $60.45 / $93.26	Professional		$25.54	$60.45	$93.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $106.36 / $273.83	Professional		$48.76	$106.36	$273.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.94 / $224.30 / $344.07	Facility		$191.94	$224.30	$344.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $78.70 / $197.90	Professional		$34.36	$78.70	$197.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $77.45 / $191.01	Facility		$30.03	$77.45	$191.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $85.50 / $1,590.00	Facility		$32.95	$85.50	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $133.24 / $297.26	Professional		$68.88	$133.24	$297.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $94.25 / $218.92	Professional		$58.91	$94.25	$218.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $77.45 / $191.01	Facility		$30.03	$77.45	$191.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $107.59 / $231.00	Professional		$66.37	$107.59	$231.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $78.14 / $137.78	Facility		$58.47	$78.14	$137.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $134.97 / $528.48	Professional		$38.61	$134.97	$528.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $128.84 / $307.20	Professional		$58.86	$128.84	$307.20
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 $65.38 / $118.83 / $276.23	Professional		$65.38	$118.83	$276.23