Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $82.19 / $275.57	Facility		$40.71	$82.19	$275.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $73.68 / $177.51	Professional		$40.71	$73.68	$177.51
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 $64.08 / $147.88 / $378.65	Professional		$64.08	$147.88	$378.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $234.83 / $378.77	Facility		$200.95	$234.83	$378.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $142.03 / $269.11	Professional		$68.31	$142.03	$269.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $75.59 / $147.75	Facility		$36.53	$75.59	$147.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $104.59 / $1,778.00	Facility		$40.18	$104.59	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $224.11 / $640.57	Professional		$79.56	$224.11	$640.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $94.52 / $163.35	Professional		$45.20	$94.52	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $74.59 / $147.75	Facility		$29.83	$74.59	$147.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $164.81 / $264.83	Professional		$91.60	$164.81	$264.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $187.44 / $187.44	Facility		$187.44	$187.44	$187.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $318.74 / $970.06	Professional		$61.27	$318.74	$970.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $236.33 / $447.85	Professional		$192.60	$236.33	$447.85
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 $75.23 / $195.22 / $336.56	Professional		$75.23	$195.22	$336.56