Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $146.13 / $14,482.00	Facility		$59.37	$146.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $130.11 / $555.87	Professional		$59.37	$130.11	$555.87
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 $104.40 / $232.68 / $584.38	Professional		$104.40	$232.68	$584.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.11 / $478.08 / $733.38	Facility		$409.11	$478.08	$733.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $180.93 / $406.57	Professional		$76.30	$180.93	$406.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $166.34 / $412.14	Facility		$70.42	$166.34	$412.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $194.85 / $1,513.00	Facility		$75.76	$194.85	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $281.30 / $657.11	Professional		$135.08	$281.30	$657.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $126.96 / $290.37	Professional		$77.53	$126.96	$290.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $166.34 / $412.14	Facility		$70.42	$166.34	$412.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $262.70 / $488.97	Professional		$159.82	$262.70	$488.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $137.04 / $183.16 / $323.95	Facility		$137.04	$183.16	$323.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $352.40 / $1,129.28	Professional		$90.14	$352.40	$1,129.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $300.87 / $656.16	Professional		$161.76	$300.87	$656.16
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 $134.66 / $281.30 / $569.77	Professional		$134.66	$281.30	$569.77