Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $187.15 / $3,119.00	Facility		$41.78	$187.15	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $120.60 / $250.05	Professional		$35.58	$120.60	$250.05
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 $61.80 / $197.02 / $736.49	Professional		$61.80	$197.02	$736.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.28 / $454.91 / $733.75	Facility		$389.28	$454.91	$733.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $163.76 / $573.09	Professional		$64.58	$163.76	$573.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $71.44 / $252.77	Facility		$33.18	$71.44	$252.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $227.91 / $4,195.00	Facility		$36.53	$227.91	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $541.54 / $918.10	Professional		$180.32	$541.54	$918.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $128.60 / $338.03	Professional		$70.00	$128.60	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $71.44 / $252.77	Facility		$33.18	$71.44	$252.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $150.40 / $473.55	Professional		$76.23	$150.40	$473.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $255.58 / $255.58 / $255.58	Facility		$255.58	$255.58	$255.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $611.28 / $1,056.64	Professional		$63.28	$611.28	$1,056.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $196.59 / $699.42 / $1,007.57	Professional		$196.59	$699.42	$1,007.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $554.54 / $899.58	Professional		$180.32	$554.54	$899.58