Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $153.65 / $14,482.00	Facility		$65.04	$153.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $74.18 / $153.65	Professional		$55.96	$74.18	$153.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $162.90 / $412.57	Professional		$71.37	$162.90	$412.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.25 / $231.67 / $355.38	Facility		$198.25	$231.67	$355.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $158.69 / $310.06	Professional		$76.03	$158.69	$310.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $76.54 / $135.00	Facility		$51.46	$76.54	$135.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $80.98 / $2,783.00	Facility		$53.58	$80.98	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $270.63 / $555.60	Professional		$83.08	$270.63	$555.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $112.99 / $175.04	Professional		$50.00	$112.99	$175.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $75.83 / $134.60	Facility		$51.04	$75.83	$134.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $178.20 / $258.62	Professional		$121.50	$178.20	$258.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $417.12 / $1,385.60	Facility		$100.37	$417.12	$1,385.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $317.20 / $555.60	Professional		$90.99	$317.20	$555.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $298.17 / $378.60	Professional		$209.28	$298.17	$378.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $151.97 / $342.98	Professional		$80.11	$151.97	$342.98