Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $64.56 / $17,823.00	Facility		$64.56	$64.56	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $68.25 / $92.54	Professional		$64.56	$68.25	$92.54
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 $72.31 / $169.30 / $345.20	Professional		$72.31	$169.30	$345.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $220.08 / $337.61	Facility		$188.33	$220.08	$337.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $142.08 / $231.36	Professional		$71.04	$142.08	$231.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $116.86 / $225.90	Facility		$64.56	$116.86	$225.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $225.90 / $1,789.00	Facility		$71.02	$225.90	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $128.97 / $347.06	Professional		$72.54	$128.97	$347.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $268.44	Professional		$50.00	$70.00	$268.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $116.86 / $225.90	Facility		$64.56	$116.86	$225.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $188.50 / $261.80	Professional		$142.80	$188.50	$261.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,262.80 / $1,862.05 / $1,862.05	Facility		$1,262.80	$1,862.05	$1,862.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $324.27 / $576.64	Professional		$89.35	$324.27	$576.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $258.14 / $258.14	Professional		$93.95	$258.14	$258.14
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 $72.54 / $113.38 / $268.05	Professional		$72.54	$113.38	$268.05