Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $142.94 / $1,894.00	Facility		$60.91	$142.94	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $73.87 / $212.13	Professional		$58.05	$73.87	$212.13
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 $73.06 / $170.21 / $367.21	Professional		$73.06	$170.21	$367.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $209.55 / $338.00	Facility		$179.32	$209.55	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $175.60 / $264.20	Professional		$91.47	$175.60	$264.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $84.00 / $136.59	Facility		$60.91	$84.00	$136.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $112.91 / $1,778.00	Facility		$63.53	$112.91	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $222.45 / $559.00	Professional		$79.56	$222.45	$559.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $94.25 / $189.45	Professional		$45.20	$94.25	$189.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $84.00 / $138.66	Facility		$60.91	$84.00	$138.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $180.29 / $236.08	Professional		$124.46	$180.29	$236.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.80 / $263.80 / $263.80	Facility		$263.80	$263.80	$263.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $290.83 / $1,520.20	Professional		$78.26	$290.83	$1,520.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $178.62 / $271.91 / $334.53	Professional		$178.62	$271.91	$334.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $220.64 / $325.74	Professional		$77.09	$220.64	$325.74