Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $179.30 / $1,894.00	Facility		$73.30	$179.30	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $82.86 / $268.52	Professional		$73.30	$82.86	$268.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,601.00	Facility		$1,905.00	$1,979.00	$2,601.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $205.77 / $420.66	Professional		$94.90	$205.77	$420.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.81 / $289.58 / $444.23	Facility		$247.81	$289.58	$444.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $142.90 / $259.79	Professional		$90.73	$142.90	$259.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $122.25 / $277.05	Facility		$80.34	$122.25	$277.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $193.56 / $1,590.00	Facility		$87.24	$193.56	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $171.38 / $650.40	Professional		$97.15	$171.38	$650.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $96.23 / $223.86	Professional		$59.78	$96.23	$223.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $122.25 / $277.05	Facility		$80.34	$122.25	$277.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $250.92 / $324.50	Professional		$174.85	$250.92	$324.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $168.15 / $224.73 / $407.21	Facility		$168.15	$224.73	$407.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $364.23 / $758.33	Professional		$100.37	$364.23	$758.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $162.26 / $176.90	Professional		$162.26	$162.26	$176.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $306.04 / $406.20	Professional		$157.44	$306.04	$406.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,507.00 / $2,202.90	Facility		$1,034.00	$1,507.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $163.25 / $392.59	Professional		$94.56	$163.25	$392.59