Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $182.45 / $1,894.00	Facility		$63.97	$182.45	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $86.82 / $278.24	Professional		$63.97	$86.82	$278.24
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 $83.70 / $200.87 / $504.22	Professional		$83.70	$200.87	$504.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.39 / $272.73 / $439.91	Facility		$233.39	$272.73	$439.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $213.68 / $316.64	Professional		$102.19	$213.68	$316.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $90.39 / $174.34	Facility		$52.50	$90.39	$174.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.98 / $125.99 / $1,778.00	Facility		$59.98	$125.99	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $268.49 / $556.50	Professional		$97.61	$268.49	$556.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $110.45 / $210.76	Professional		$45.20	$110.45	$210.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $90.39 / $174.34	Facility		$50.40	$90.39	$174.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $210.61 / $315.67	Professional		$144.18	$210.61	$315.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $293.56 / $293.56 / $293.56	Facility		$293.56	$293.56	$293.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $375.03 / $1,950.30	Professional		$87.16	$375.03	$1,950.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.81 / $369.82 / $526.90	Professional		$301.81	$369.82	$526.90
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 $94.58 / $247.36 / $411.77	Professional		$94.58	$247.36	$411.77