Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $236.31 / $1,894.00	Facility		$58.64	$236.31	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $144.16 / $449.97	Professional		$59.91	$144.16	$449.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $207.42 / $207.42 / $207.42	Professional	50	$207.42	$207.42	$207.42
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 $81.44 / $143.60 / $352.32	Professional		$81.44	$143.60	$352.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $135.72 / $215.40 / $528.48	Professional	50	$135.72	$215.40	$528.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $505.45 / $775.38	Facility		$432.54	$505.45	$775.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $280.83 / $716.96	Professional		$117.87	$280.83	$716.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $144.78 / $265.00	Facility		$58.93	$144.78	$265.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $153.29 / $2,951.70	Facility		$61.52	$153.29	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $286.35 / $1,227.00	Professional		$147.47	$286.35	$1,227.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $148.14 / $315.53	Professional		$77.22	$148.14	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $144.78 / $265.00	Facility		$58.93	$144.78	$265.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $309.81 / $538.49	Professional		$147.19	$309.81	$538.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.99 / $295.99 / $982.04	Facility		$295.99	$295.99	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $318.60 / $1,227.00	Professional		$136.58	$318.60	$1,227.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $370.08 / $944.79	Professional		$232.11	$370.08	$944.79
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 $147.82 / $257.70 / $598.86	Professional		$147.82	$257.70	$598.86