Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.52 / $176.04 / $1,894.00	Facility		$45.52	$176.04	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $92.95 / $213.71	Professional		$45.14	$92.95	$213.71
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 $70.56 / $140.13 / $332.00	Professional		$70.56	$140.13	$332.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $335.92 / $541.82	Facility		$287.45	$335.92	$541.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $187.85 / $390.03	Professional		$90.43	$187.85	$390.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.52 / $95.91 / $156.62	Facility		$45.52	$95.91	$156.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.52 / $156.62 / $4,195.00	Facility		$45.52	$156.62	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $287.87 / $660.33	Professional		$117.07	$287.87	$660.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $143.58 / $250.69	Professional		$59.63	$143.58	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.52 / $95.91 / $156.62	Facility		$45.52	$95.91	$156.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $199.63 / $365.33	Professional		$109.92	$199.63	$365.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.96 / $223.96 / $223.96	Facility		$223.96	$223.96	$223.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $314.48 / $796.64	Professional		$92.41	$314.48	$796.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $284.22 / $447.79 / $710.72	Professional		$284.22	$447.79	$710.72
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 $122.99 / $293.41 / $576.50	Professional		$122.99	$293.41	$576.50