Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $104.69 / $14,482.00	Facility		$42.70	$104.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $68.20 / $186.59	Professional		$42.70	$68.20	$186.59
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 $66.06 / $148.26 / $310.42	Professional		$66.06	$148.26	$310.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.37 / $251.67 / $386.07	Facility		$215.37	$251.67	$386.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $105.89 / $237.15	Professional		$54.18	$105.89	$237.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $93.06 / $225.03	Facility		$51.16	$93.06	$225.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $134.03 / $1,513.00	Facility		$55.84	$134.03	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $140.69 / $544.00	Professional		$70.95	$140.69	$544.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.00 / $148.75	Professional		$39.56	$65.00	$148.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $93.06 / $225.03	Facility		$51.16	$93.06	$225.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $176.50 / $269.37	Professional		$114.65	$176.50	$269.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $131.21 / $237.65	Facility		$98.18	$131.21	$237.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $251.60 / $610.91	Professional		$64.44	$251.60	$610.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $94.01 / $148.16	Professional		$94.01	$94.01	$148.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $215.06 / $347.05	Professional		$114.46	$215.06	$347.05
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 $69.33 / $122.84 / $283.14	Professional		$69.33	$122.84	$283.14