Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $95.90 / $299.99	Facility		$51.26	$95.90	$299.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $76.19 / $204.08	Professional		$42.76	$76.19	$204.08
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 $74.88 / $170.23 / $373.35	Professional		$74.88	$170.23	$373.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.17 / $253.78 / $409.34	Facility		$217.17	$253.78	$409.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $157.69 / $276.81	Professional		$85.23	$157.69	$276.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $88.69 / $115.50	Facility		$50.03	$88.69	$115.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $104.83 / $1,789.00	Facility		$51.26	$104.83	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $227.38 / $391.82	Professional		$88.69	$227.38	$391.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $110.45 / $168.32	Professional		$41.98	$110.45	$168.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $88.69 / $115.50	Facility		$50.03	$88.69	$115.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $170.25 / $278.80	Professional		$109.83	$170.25	$278.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $217.99 / $217.99 / $217.99	Facility		$217.99	$217.99	$217.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $346.46 / $609.44	Professional		$79.59	$346.46	$609.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $61.27 / $106.43	Professional		$61.27	$61.27	$106.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $301.05 / $528.47	Professional		$71.36	$301.05	$528.47
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 $87.67 / $219.71 / $333.73	Professional		$87.67	$219.71	$333.73