Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $315.55 / $1,894.00	Facility		$87.20	$315.55	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $136.02 / $382.76	Professional		$87.20	$136.02	$382.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $5,768.00	Facility		$1,314.00	$3,163.00	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $325.02 / $796.30	Professional		$129.27	$325.02	$796.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.16 / $530.73 / $856.04	Facility		$454.16	$530.73	$856.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $305.25 / $610.28	Professional		$143.19	$305.25	$610.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.69 / $168.62 / $329.57	Facility		$78.69	$168.62	$329.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.56 / $196.21 / $3,995.00	Facility		$86.56	$196.21	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $414.85 / $836.57	Professional		$152.30	$414.85	$836.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $182.56 / $374.37	Professional		$85.00	$182.56	$374.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $168.62 / $329.57	Facility		$78.50	$168.62	$329.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $353.11 / $563.22	Professional		$198.46	$353.11	$563.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $402.96 / $402.96 / $402.96	Facility		$402.96	$402.96	$402.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $454.55 / $1,950.30	Professional		$131.68	$454.55	$1,950.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $414.66 / $507.94 / $1,015.50	Professional		$414.66	$507.94	$1,015.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $379.04 / $680.40	Professional		$148.54	$379.04	$680.40