Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $152.55 / $14,482.00	Facility		$62.59	$152.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $133.30 / $649.00	Professional		$62.59	$133.30	$649.00
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 $109.01 / $243.56 / $601.46	Professional		$109.01	$243.56	$601.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.02 / $489.66 / $751.15	Facility		$419.02	$489.66	$751.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $188.98 / $433.09	Professional		$79.88	$188.98	$433.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $170.52 / $417.72	Facility		$73.45	$170.52	$417.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $203.40 / $1,513.00	Facility		$80.65	$203.40	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $292.14 / $674.51	Professional		$126.89	$292.14	$674.51
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 $73.45 / $170.52 / $417.72	Facility		$73.45	$170.52	$417.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.54 / $269.10 / $500.87	Professional		$166.54	$269.10	$500.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $143.06 / $191.20 / $337.57	Facility		$143.06	$191.20	$337.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $368.85 / $1,157.35	Professional		$94.15	$368.85	$1,157.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $314.24 / $672.45	Professional		$169.95	$314.24	$672.45
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 $93.00 / $189.24 / $646.80	Professional		$93.00	$189.24	$646.80