Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $96.35 / $293.17	Facility		$37.61	$96.35	$293.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $65.98 / $203.40	Professional		$37.61	$65.98	$203.40
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 $61.14 / $134.46 / $285.16	Professional		$61.14	$134.46	$285.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $245.36 / $376.38	Facility		$209.96	$245.36	$376.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $105.60 / $213.82	Professional		$50.36	$105.60	$213.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $93.31 / $219.33	Facility		$44.94	$93.31	$219.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $122.25 / $1,513.00	Facility		$48.73	$122.25	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $133.36 / $336.08	Professional		$69.40	$133.36	$336.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $66.47 / $148.75	Professional		$39.56	$66.47	$148.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $93.31 / $219.33	Facility		$44.94	$93.31	$219.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $155.58 / $261.80	Professional		$99.57	$155.58	$261.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $114.52 / $207.37	Facility		$85.69	$114.52	$207.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $222.35 / $591.44	Professional		$56.85	$222.35	$591.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $189.75 / $340.57	Professional		$83.94	$189.75	$340.57
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 $65.11 / $124.95 / $263.97	Professional		$65.11	$124.95	$263.97