Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $210.56 / $1,894.00	Facility		$69.45	$210.56	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $94.19 / $377.00	Professional		$65.15	$94.19	$377.00
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 $90.50 / $220.82 / $471.66	Professional		$90.50	$220.82	$471.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.04 / $319.07 / $514.65	Facility		$273.04	$319.07	$514.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $215.70 / $349.70	Professional		$117.20	$215.70	$349.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $102.94 / $201.20	Facility		$67.06	$102.94	$201.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $125.99 / $3,995.00	Facility		$69.45	$125.99	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $269.44 / $764.00	Professional		$104.84	$269.44	$764.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $116.86 / $250.69	Professional		$59.63	$116.86	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $101.25 / $201.20	Facility		$64.45	$101.25	$201.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $150.25 / $232.91 / $348.50	Professional		$150.25	$232.91	$348.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $304.27 / $304.27 / $304.27	Facility		$304.27	$304.27	$304.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $437.67 / $770.16	Professional		$105.14	$437.67	$770.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $346.74 / $562.16	Professional		$174.79	$346.74	$562.16
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 $109.48 / $312.95 / $398.69	Professional		$109.48	$312.95	$398.69