Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $146.00 / $14,482.00	Facility		$59.75	$146.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $90.41 / $213.26	Professional		$59.75	$90.41	$213.26
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 $92.14 / $203.16 / $423.46	Professional		$92.14	$203.16	$423.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.66 / $333.81 / $512.07	Facility		$285.66	$333.81	$512.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $147.57 / $292.95	Professional		$74.67	$147.57	$292.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.27 / $129.43 / $298.68	Facility		$71.27	$129.43	$298.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.87 / $190.08 / $1,565.18	Facility		$77.87	$190.08	$1,565.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $191.26 / $594.00	Professional		$99.56	$191.26	$594.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.48 / $221.50	Professional		$58.91	$93.48	$221.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.27 / $129.43 / $298.68	Facility		$71.27	$129.43	$298.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $239.80 / $356.99	Professional		$162.16	$239.80	$356.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $182.99 / $330.03	Facility		$136.91	$182.99	$330.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $354.25 / $802.00	Professional		$90.36	$354.25	$802.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $132.01 / $197.63	Professional		$132.01	$132.01	$197.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $301.61 / $461.13	Professional		$156.16	$301.61	$461.13
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 $96.26 / $185.63 / $385.53	Professional		$96.26	$185.63	$385.53