Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $147.51 / $1,894.00	Facility		$59.70	$147.51	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $85.48 / $238.49	Professional		$59.70	$85.48	$238.49
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 $89.99 / $192.10 / $391.88	Professional		$89.99	$192.10	$391.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $314.86 / $483.00	Facility		$269.43	$314.86	$483.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $142.25 / $296.10	Professional		$72.29	$142.25	$296.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $119.83 / $274.68	Facility		$69.84	$119.83	$274.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.18 / $184.36 / $1,513.00	Facility		$71.18	$184.36	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $182.60 / $528.79	Professional		$92.18	$182.60	$528.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $221.50	Professional		$58.91	$95.42	$221.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $119.83 / $274.68	Facility		$69.84	$119.83	$274.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $228.99 / $324.54	Professional		$155.38	$228.99	$324.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $184.88 / $332.40	Facility		$138.33	$184.88	$332.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $341.15 / $747.36	Professional		$91.15	$341.15	$747.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $304.20 / $433.27	Professional		$152.38	$304.20	$433.27
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 $90.83 / $147.97 / $355.57	Professional		$90.83	$147.97	$355.57