Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.66 / $195.66 / $14,482.00	Facility		$58.66	$195.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $95.50 / $164.07	Professional		$51.42	$95.50	$164.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $187.20 / $498.56	Professional		$72.02	$187.20	$498.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.72 / $301.17 / $462.00	Facility		$257.72	$301.17	$462.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $191.70 / $399.76	Professional		$72.84	$191.70	$399.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $95.50 / $161.68	Facility		$54.02	$95.50	$161.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $100.92 / $1,957.00	Facility		$54.08	$100.92	$1,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $351.87 / $728.98	Professional		$109.62	$351.87	$728.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $163.16 / $250.69	Professional		$59.63	$163.16	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $91.85 / $156.53	Facility		$54.02	$91.85	$156.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $203.04 / $320.24	Professional		$115.96	$203.04	$320.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $371.58 / $2,922.50	Facility		$88.85	$371.58	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $408.96 / $728.98	Professional		$87.12	$408.96	$728.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $196.92 / $267.38 / $488.07	Professional		$196.92	$267.38	$488.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $2,695.00 / $4,155.00	Facility		$1,957.00	$2,695.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $219.94 / $509.76	Professional		$105.09	$219.94	$509.76