Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $109.87 / $1,894.00	Facility		$45.14	$109.87	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $79.81 / $189.97	Professional		$45.14	$79.81	$189.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $161.50 / $357.25	Professional		$76.84	$161.50	$357.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.91 / $288.52 / $442.61	Facility		$246.91	$288.52	$442.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $115.17 / $272.95	Professional		$60.55	$115.17	$272.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $106.73 / $253.29	Facility		$54.10	$106.73	$253.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $147.12 / $1,590.00	Facility		$58.60	$147.12	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $158.97 / $402.64	Professional		$84.43	$158.97	$402.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $218.92	Professional		$58.91	$95.42	$218.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $106.73 / $253.29	Facility		$54.10	$106.73	$253.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $187.74 / $305.07	Professional		$124.72	$187.74	$305.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $103.03 / $137.69 / $252.81	Facility		$103.03	$137.69	$252.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $224.24 / $5,990.92	Professional		$67.95	$224.24	$5,990.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $226.82 / $399.40	Professional		$123.34	$226.82	$399.40
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 $83.90 / $148.43 / $372.05	Professional		$83.90	$148.43	$372.05