Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $229.01 / $1,894.00	Facility		$49.26	$229.01	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $121.49 / $492.15	Professional		$47.44	$121.49	$492.15
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 $60.59 / $107.70 / $187.31	Professional		$60.59	$107.70	$187.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $321.17 / $518.04	Facility		$274.83	$321.17	$518.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $182.57 / $348.76	Professional		$102.27	$182.57	$348.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $122.79 / $196.25	Facility		$49.26	$122.79	$196.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $153.85 / $1,789.00	Facility		$62.72	$153.85	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $219.16 / $433.00	Professional		$93.65	$219.16	$433.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $117.79 / $224.24	Professional		$58.52	$117.79	$224.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $122.79 / $196.25	Facility		$49.26	$122.79	$196.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $220.42 / $422.48	Professional		$133.76	$220.42	$422.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $305.79 / $305.79 / $305.79	Facility		$305.79	$305.79	$305.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $433.00 / $765.52	Professional		$60.00	$433.00	$765.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $169.34 / $323.51	Professional		$129.07	$169.34	$323.51
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 $93.65 / $217.14 / $365.25	Professional		$93.65	$217.14	$365.25