Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $1,894.00 / $14,482.00	Facility		$64.16	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $59.22 / $86.46	Professional		$50.43	$59.22	$86.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,297.00 / $4,433.00	Facility		$1,139.00	$2,297.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $95.76 / $283.56	Professional		$50.41	$95.76	$283.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $232.61	Facility		$129.76	$151.63	$232.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $130.97 / $177.66	Professional		$61.48	$130.97	$177.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $64.16 / $123.75	Facility		$50.43	$64.16	$123.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $77.97 / $1,789.00	Facility		$50.95	$77.97	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $102.89 / $478.82	Professional		$55.11	$102.89	$478.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $57.73 / $85.00	Professional		$21.51	$57.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $64.16 / $116.28	Facility		$50.68	$64.16	$116.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $115.16 / $209.86	Professional		$87.60	$115.16	$209.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $1,344.10 / $1,344.10	Facility		$57.01	$1,344.10	$1,344.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $252.15 / $478.82	Professional		$82.53	$252.15	$478.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $265.02 / $265.02	Professional		$265.02	$265.02	$265.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $240.95 / $324.88 / $349.78	Professional		$240.95	$324.88	$349.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,630.00 / $2,153.10	Facility		$1,034.00	$1,630.00	$2,153.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $92.54 / $224.41	Professional		$53.05	$92.54	$224.41