Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $91.10 / $14,482.00	Facility		$56.76	$91.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $56.76 / $176.47	Professional		$34.19	$56.76	$176.47
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 $44.01 / $101.67 / $305.60	Professional		$44.01	$101.67	$305.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $132.68 / $214.01	Facility		$113.54	$132.68	$214.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $138.29 / $203.87	Professional		$83.41	$138.29	$203.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $73.15 / $126.87	Facility		$44.54	$73.15	$126.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $329.60 / $1,789.00	Facility		$51.21	$329.60	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $147.05 / $272.69	Professional		$54.57	$147.05	$272.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $68.40 / $150.31	Professional		$27.68	$68.40	$150.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $73.15 / $126.87	Facility		$44.54	$73.15	$126.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $140.52 / $185.92	Professional		$91.00	$140.52	$185.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $223.55 / $515.00	Professional		$86.06	$223.55	$515.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $231.40 / $231.40	Professional		$231.40	$231.40	$231.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $226.93 / $309.89 / $309.89	Professional		$226.93	$309.89	$309.89
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 $54.28 / $137.74 / $221.99	Professional		$54.28	$137.74	$221.99