Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $151.38 / $1,894.00	Facility		$41.74	$151.38	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $74.48 / $151.38	Professional		$41.74	$74.48	$151.38
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 $65.69 / $149.35 / $388.56	Professional		$65.69	$149.35	$388.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.55 / $239.04 / $385.56	Facility		$204.55	$239.04	$385.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $146.81 / $273.89	Professional		$69.64	$146.81	$273.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $76.59 / $149.72	Facility		$37.75	$76.59	$149.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $104.12 / $1,778.00	Facility		$41.53	$104.12	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $228.62 / $473.88	Professional		$81.11	$228.62	$473.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $95.86 / $163.35	Professional		$45.20	$95.86	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $75.91 / $149.72	Facility		$37.68	$75.91	$149.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $169.02 / $268.38	Professional		$94.65	$169.02	$268.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $193.72 / $193.72 / $193.72	Facility		$193.72	$193.72	$193.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $324.41 / $1,375.00	Professional		$63.33	$324.41	$1,375.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $244.30 / $455.75	Professional		$199.11	$244.30	$455.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $206.45 / $330.18	Professional		$80.33	$206.45	$330.18