Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.16 / $226.73 / $1,894.00	Facility		$72.16	$226.73	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $105.00 / $264.75	Professional		$72.16	$105.00	$264.75
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 $98.54 / $213.82 / $523.29	Professional		$98.54	$213.82	$523.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.26 / $338.02 / $545.22	Facility		$289.26	$338.02	$545.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $253.26 / $383.43	Professional		$141.91	$253.26	$383.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $108.37 / $216.66	Facility		$72.20	$108.37	$216.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $150.33 / $3,995.00	Facility		$75.78	$150.33	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $311.27 / $657.39	Professional		$128.47	$311.27	$657.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $147.27 / $324.01	Professional		$78.44	$147.27	$324.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.16 / $105.00 / $216.66	Facility		$72.16	$105.00	$216.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $256.64 / $388.98	Professional		$172.37	$256.64	$388.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $353.56 / $353.56 / $353.56	Facility		$353.56	$353.56	$353.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $465.75 / $941.99	Professional		$145.61	$465.75	$941.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $300.48 / $494.61 / $724.24	Professional		$300.48	$494.61	$724.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $332.51 / $631.58	Professional		$128.47	$332.51	$631.58