Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $140.22 / $1,894.00	Facility		$39.08	$140.22	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $68.91 / $170.30	Professional		$39.08	$68.91	$170.30
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 $61.52 / $144.02 / $366.72	Professional		$61.52	$144.02	$366.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $229.56 / $370.27	Facility		$196.44	$229.56	$370.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $136.75 / $265.01	Professional		$64.20	$136.75	$265.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $75.19 / $107.27	Facility		$39.08	$75.19	$107.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $107.27 / $1,789.00	Facility		$41.96	$107.27	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $182.00 / $549.60	Professional		$71.26	$182.00	$549.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $85.00 / $163.35	Professional		$45.20	$85.00	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $75.19 / $107.27	Facility		$39.08	$75.19	$107.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $155.80 / $248.02	Professional		$88.54	$155.80	$248.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $226.20 / $226.20 / $226.20	Facility		$226.20	$226.20	$226.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $202.51 / $640.01	Professional		$53.62	$202.51	$640.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $197.09 / $384.27	Professional		$197.09	$197.09	$384.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.52 / $276.24 / $440.97	Professional		$227.52	$276.24	$440.97
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
United Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $190.38 / $330.27	Professional		$71.26	$190.38	$330.27