Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $1,894.00 / $14,482.00	Facility		$51.00	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $75.25	Professional		$51.00	$51.00	$75.25
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 $41.98 / $41.98 / $72.48	Professional		$41.98	$41.98	$72.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.10 / $467.55 / $754.13	Facility		$400.10	$467.55	$754.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.14 / $366.30 / $765.35	Professional		$290.14	$366.30	$765.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $63.75 / $201.33	Facility		$51.00	$63.75	$201.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $1,209.00 / $2,090.40	Facility		$75.25	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.30 / $379.30 / $379.30	Professional		$379.30	$379.30	$379.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $72.59 / $437.94	Professional		$50.00	$72.59	$437.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $63.75 / $201.33	Facility		$51.00	$63.75	$201.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.30 / $379.30 / $379.30	Professional		$379.30	$379.30	$379.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $120.79 / $127.90	Professional		$120.79	$120.79	$127.90
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