Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $142.13 / $14,482.00	Facility		$59.21	$142.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $124.02 / $251.41	Professional		$59.21	$124.02	$251.41
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 $103.12 / $230.71 / $575.63	Professional		$103.12	$230.71	$575.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.89 / $459.12 / $704.30	Facility		$392.89	$459.12	$704.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $178.83 / $409.13	Professional		$78.33	$178.83	$409.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $159.01 / $394.29	Facility		$69.28	$159.01	$394.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.17 / $189.84 / $1,513.00	Facility		$75.17	$189.84	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $293.98 / $655.80	Professional		$132.51	$293.98	$655.80
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 $69.28 / $159.01 / $394.29	Facility		$69.28	$159.01	$394.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $249.92 / $468.84	Professional		$154.66	$249.92	$468.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.29 / $178.14 / $311.83	Facility		$133.29	$178.14	$311.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $361.20 / $1,090.64	Professional		$89.10	$361.20	$1,090.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $297.39 / $632.37	Professional		$161.79	$297.39	$632.37
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 $105.11 / $194.53 / $557.41	Professional		$105.11	$194.53	$557.41