Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $262.42 / $3,119.00	Facility		$69.64	$262.42	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $122.16 / $502.00	Professional		$69.64	$122.16	$502.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $239.98 / $492.73	Professional		$108.91	$239.98	$492.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.23 / $402.26 / $617.07	Facility		$344.23	$402.26	$617.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $177.09 / $376.68	Professional		$84.99	$177.09	$376.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $151.62 / $342.69	Facility		$81.48	$151.62	$342.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $225.75 / $3,995.00	Facility		$82.32	$225.75	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $237.06 / $618.64	Professional		$117.10	$237.06	$618.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $123.56 / $274.18	Professional		$70.00	$123.56	$274.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $151.62 / $342.69	Facility		$81.48	$151.62	$342.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $276.10 / $411.08	Professional		$181.79	$276.10	$411.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $161.84 / $216.29 / $379.97	Facility		$161.84	$216.29	$379.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $397.75 / $947.68	Professional		$106.93	$397.75	$947.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.06 / $356.87 / $551.19	Professional		$161.06	$356.87	$551.19
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 $116.62 / $187.26 / $474.57	Professional		$116.62	$187.26	$474.57