Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $201.42 / $1,894.00	Facility		$51.93	$201.42	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $99.91 / $273.50	Professional		$51.93	$99.91	$273.50
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 $82.15 / $191.19 / $486.21	Professional		$82.15	$191.19	$486.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.32 / $305.38 / $492.57	Facility		$261.32	$305.38	$492.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $182.56 / $350.81	Professional		$92.86	$182.56	$350.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $98.47 / $192.47	Facility		$47.42	$98.47	$192.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $141.97 / $1,778.00	Facility		$51.93	$141.97	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.38 / $300.77 / $611.91	Professional		$110.38	$300.77	$611.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $117.98 / $250.69	Professional		$59.63	$117.98	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $96.89 / $192.47	Facility		$45.53	$96.89	$192.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $211.00 / $346.41	Professional		$119.84	$211.00	$346.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $237.65 / $237.65 / $237.65	Facility		$237.65	$237.65	$237.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $415.49 / $725.28	Professional		$78.76	$415.49	$725.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $248.41 / $303.81 / $583.78	Professional		$248.41	$303.81	$583.78
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 $104.99 / $277.20 / $459.03	Professional		$104.99	$277.20	$459.03