Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $177.55 / $1,894.00	Facility		$53.59	$177.55	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $85.73 / $234.79	Professional		$53.59	$85.73	$234.79
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 $78.08 / $191.43 / $458.31	Professional		$78.08	$191.43	$458.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $267.47 / $431.42	Facility		$228.88	$267.47	$431.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $187.05 / $308.10	Professional		$85.82	$187.05	$308.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $86.80 / $169.66	Facility		$42.00	$86.80	$169.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $115.71 / $1,778.00	Facility		$50.24	$115.71	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $262.74 / $545.28	Professional		$92.39	$262.74	$545.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $109.29 / $187.67	Professional		$45.20	$109.29	$187.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $85.40 / $169.66	Facility		$37.79	$85.40	$169.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $197.69 / $306.22	Professional		$122.03	$197.69	$306.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $246.88 / $246.88 / $246.88	Facility		$246.88	$246.88	$246.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $364.91 / $703.73	Professional		$77.48	$364.91	$703.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $252.95 / $311.27 / $512.70	Professional		$252.95	$311.27	$512.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $237.12 / $391.40	Professional		$92.36	$237.12	$391.40