Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $221.87 / $14,482.00	Facility		$85.40	$221.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $101.55 / $266.83	Professional		$72.45	$101.55	$266.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $224.79 / $489.04	Professional		$96.04	$224.79	$489.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $330.65 / $439.46	Facility		$282.95	$330.65	$439.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $248.77 / $383.14	Professional		$94.18	$248.77	$383.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $118.33 / $197.22	Facility		$85.40	$118.33	$197.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $135.01 / $1,449.00	Facility		$85.40	$135.01	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $268.63 / $903.00	Professional		$115.00	$268.63	$903.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $98.75 / $246.53	Professional		$58.91	$98.75	$246.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $120.29 / $203.63	Facility		$85.40	$120.29	$203.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $254.78 / $363.12	Professional		$175.76	$254.78	$363.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $206.51 / $372.20 / $1,944.00	Facility		$206.51	$372.20	$1,944.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $385.80 / $903.00	Professional		$133.03	$385.80	$903.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $215.45 / $215.45 / $290.85	Professional		$215.45	$215.45	$290.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $385.16 / $522.03	Professional		$235.88	$385.16	$522.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $213.24 / $451.83	Professional		$113.80	$213.24	$451.83