Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $193.73 / $1,894.00	Facility		$45.96	$193.73	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $83.99 / $362.23	Professional		$45.96	$83.99	$362.23
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 $80.04 / $167.29 / $362.84	Professional		$80.04	$167.29	$362.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.61 / $291.69 / $447.46	Facility		$249.61	$291.69	$447.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $132.16 / $256.61	Professional		$61.47	$132.16	$256.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.79 / $111.93 / $258.30	Facility		$54.79	$111.93	$258.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $148.71 / $1,513.00	Facility		$59.48	$148.71	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $181.36 / $410.48	Professional		$96.74	$181.36	$410.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $219.68	Professional		$58.91	$95.42	$219.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.79 / $111.93 / $258.30	Facility		$54.79	$111.93	$258.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $185.49 / $306.14	Professional		$120.69	$185.49	$306.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.59 / $139.79 / $249.77	Facility		$104.59	$139.79	$249.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $271.10 / $700.24	Professional		$69.58	$271.10	$700.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $232.23 / $403.38	Professional		$123.07	$232.23	$403.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,495.00 / $2,202.90	Facility		$1,008.00	$1,495.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $148.91 / $366.95	Professional		$90.63	$148.91	$366.95