Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $203.19 / $810.03	Facility		$52.94	$203.19	$810.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $76.89 / $282.76	Professional		$48.56	$76.89	$282.76
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 $71.95 / $157.87 / $325.92	Professional		$71.95	$157.87	$325.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $268.52 / $411.92	Facility		$229.79	$268.52	$411.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $136.88 / $252.05	Professional		$60.76	$136.88	$252.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $101.34 / $232.17	Facility		$54.21	$101.34	$232.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $152.01 / $1,455.00	Facility		$58.79	$152.01	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $157.68 / $413.28	Professional		$78.18	$157.68	$413.28
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 $54.21 / $101.34 / $232.17	Facility		$54.21	$101.34	$232.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $185.90 / $279.10	Professional		$120.69	$185.90	$279.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $106.91 / $142.88 / $261.80	Facility		$106.91	$142.88	$261.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $261.25 / $636.72	Professional		$91.06	$261.25	$636.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $236.86 / $368.85	Professional		$98.88	$236.86	$368.85
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 $75.02 / $139.66 / $329.10	Professional		$75.02	$139.66	$329.10