Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $356.56 / $14,482.00	Facility		$39.29	$356.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $134.06 / $309.08	Professional		$39.29	$134.06	$309.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $118.85 / $268.38	Professional		$54.23	$118.85	$268.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.84 / $187.97 / $402.57	Professional	50	$87.84	$187.97	$402.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.12 / $584.42 / $776.76	Facility		$500.12	$584.42	$776.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $180.41 / $827.58	Professional		$57.41	$180.41	$827.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $114.47 / $295.39	Facility		$40.02	$114.47	$295.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $186.00 / $1,513.00	Facility		$42.35	$186.00	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $534.87 / $1,353.44	Professional		$177.19	$534.87	$1,353.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $156.16 / $372.46	Professional		$93.96	$156.16	$372.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $114.47 / $295.39	Facility		$40.02	$114.47	$295.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $188.40 / $566.50	Professional		$88.25	$188.40	$566.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $186.00 / $186.00	Facility		$102.06	$186.00	$186.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $652.76 / $1,353.44	Professional		$86.45	$652.76	$1,353.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $252.64 / $1,184.57	Professional		$132.68	$252.64	$1,184.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $422.86 / $750.00	Professional		$176.16	$422.86	$750.00