Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $102.15 / $1,894.00	Facility		$42.08	$102.15	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $68.67 / $182.05	Professional		$42.08	$68.67	$182.05
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 $68.79 / $150.41 / $308.75	Professional		$68.79	$150.41	$308.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.47 / $250.62 / $384.46	Facility		$214.47	$250.62	$384.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $110.97 / $217.13	Professional		$52.29	$110.97	$217.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $95.36 / $222.39	Facility		$49.23	$95.36	$222.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.71 / $135.60 / $1,590.00	Facility		$53.71	$135.60	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $144.13 / $370.96	Professional		$76.68	$144.13	$370.96
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 $49.23 / $95.36 / $222.39	Facility		$49.23	$95.36	$222.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $166.38 / $261.80	Professional		$110.13	$166.38	$261.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $128.03 / $224.03	Facility		$95.79	$128.03	$224.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $217.13 / $1,070.26	Professional		$63.45	$217.13	$1,070.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $211.78 / $345.20	Professional		$115.73	$211.78	$345.20
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 $74.50 / $127.32 / $305.85	Professional		$74.50	$127.32	$305.85