Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $178.69 / $1,894.00	Facility		$41.52	$178.69	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $158.22 / $269.87	Professional		$41.52	$158.22	$269.87
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 $93.29 / $249.26 / $858.11	Professional		$93.29	$249.26	$858.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.84 / $598.12 / $964.75	Facility		$511.84	$598.12	$964.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $228.33 / $662.00	Professional		$91.80	$228.33	$662.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $106.06 / $290.86	Facility		$44.56	$106.06	$290.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $290.86 / $1,789.00	Facility		$49.02	$290.86	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $607.09 / $881.72	Professional		$216.98	$607.09	$881.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $180.77 / $425.37	Professional		$85.00	$180.77	$425.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $106.06 / $290.86	Facility		$44.56	$106.06	$290.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $203.14 / $618.30	Professional		$112.42	$203.14	$618.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $337.45 / $337.45 / $337.45	Facility		$337.45	$337.45	$337.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $463.27 / $1,395.20	Professional		$94.04	$463.27	$1,395.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $315.77 / $815.45	Professional		$170.00	$315.77	$815.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $199.85 / $473.75 / $834.94	Professional		$199.85	$473.75	$834.94