Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $179.09 / $1,894.00	Facility		$41.71	$179.09	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $144.81 / $286.44	Professional		$41.71	$144.81	$286.44
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 $93.73 / $236.60 / $774.58	Professional		$93.73	$236.60	$774.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $541.26 / $873.03	Facility		$463.18	$541.26	$873.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $190.58 / $592.91	Professional		$91.99	$190.58	$592.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $102.64 / $260.14	Facility		$44.66	$102.64	$260.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $260.14 / $1,789.00	Facility		$49.13	$260.14	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $509.87 / $737.62	Professional		$180.88	$509.87	$737.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $166.15 / $425.37	Professional		$85.00	$166.15	$425.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $102.64 / $260.14	Facility		$44.66	$102.64	$260.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $203.59 / $565.47	Professional		$111.65	$203.59	$565.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $307.85 / $307.85 / $307.85	Facility		$307.85	$307.85	$307.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $393.76 / $1,262.48	Professional		$94.24	$393.76	$1,262.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $168.83 / $258.64 / $737.61	Professional		$168.83	$258.64	$737.61
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 $187.69 / $449.94 / $717.51	Professional		$187.69	$449.94	$717.51