Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $266.83 / $14,482.00	Facility		$52.42	$266.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $111.72 / $209.95	Professional		$45.60	$111.72	$209.95
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 $69.45 / $193.85 / $630.91	Professional		$69.45	$193.85	$630.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.13 / $403.31 / $618.69	Facility		$345.13	$403.31	$618.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $194.91 / $532.60	Professional		$76.76	$194.91	$532.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $88.53 / $212.34	Facility		$42.17	$88.53	$212.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $109.20 / $2,247.00	Facility		$44.56	$109.20	$2,247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $413.61 / $946.80	Professional		$113.06	$413.61	$946.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $161.21 / $336.91	Professional		$70.17	$161.21	$336.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $88.53 / $212.34	Facility		$34.77	$88.53	$212.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $233.60 / $440.61	Professional		$109.03	$233.60	$440.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $279.95 / $1,300.00	Facility		$82.34	$279.95	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $486.60 / $946.80	Professional		$91.28	$486.60	$946.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $191.94 / $242.86 / $650.34	Professional		$191.94	$242.86	$650.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $238.72 / $544.13	Professional		$115.38	$238.72	$544.13