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 / $290.48	Professional		$73.30	$82.86	$290.48
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 $93.87 / $212.65 / $415.24	Professional		$93.87	$212.65	$415.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.20 / $285.37 / $437.77	Facility		$244.20	$285.37	$437.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $141.11 / $273.61	Professional		$90.73	$141.11	$273.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $122.25 / $273.51	Facility		$79.69	$122.25	$273.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $190.71 / $1,590.00	Facility		$86.50	$190.71	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $169.80 / $650.40	Professional		$92.60	$169.80	$650.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $96.23 / $224.77	Professional		$59.78	$96.23	$224.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $122.25 / $273.51	Facility		$79.69	$122.25	$273.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $250.92 / $320.10	Professional		$174.85	$250.92	$320.10
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 / $175.00	Professional		$162.26	$162.26	$175.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $321.45 / $400.37	Professional		$157.44	$321.45	$400.37
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 $87.74 / $151.29 / $355.60	Professional		$87.74	$151.29	$355.60