Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.81 / $233.55 / $2,145.81	Facility		$89.81	$233.55	$2,145.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $119.04 / $467.69	Professional		$73.20	$119.04	$467.69
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 $102.39 / $188.16 / $341.52	Professional		$102.39	$188.16	$341.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.97 / $351.71 / $567.29	Facility		$300.97	$351.71	$567.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $255.06 / $385.61	Professional		$129.75	$255.06	$385.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $124.56 / $223.17	Facility		$82.58	$124.56	$223.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $174.62 / $3,995.00	Facility		$88.09	$174.62	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $345.06 / $606.35	Professional		$137.09	$345.06	$606.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $163.16 / $254.17	Professional		$59.63	$163.16	$254.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $124.56 / $223.17	Facility		$82.58	$124.56	$223.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $270.76 / $384.81	Professional		$184.57	$270.76	$384.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $366.35 / $366.35 / $366.35	Facility		$366.35	$366.35	$366.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $482.63 / $856.96	Professional		$120.95	$482.63	$856.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $139.09 / $209.08	Professional		$139.09	$139.09	$209.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $241.55 / $357.69	Professional		$154.97	$241.55	$357.69
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 $134.22 / $305.80 / $496.62	Professional		$134.22	$305.80	$496.62