Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $203.38 / $2,456.61	Facility		$54.26	$203.38	$2,456.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $93.67 / $314.64	Professional		$56.49	$93.67	$314.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $91.74 / $91.74	Professional	50	$91.74	$91.74	$91.74
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 $72.94 / $132.88 / $337.74	Professional		$72.94	$132.88	$337.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.06 / $199.32 / $506.61	Professional	50	$114.06	$199.32	$506.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.23 / $306.43 / $470.07	Facility		$262.23	$306.43	$470.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $225.93 / $438.11	Professional		$98.27	$225.93	$438.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $97.67 / $202.36	Facility		$54.26	$97.67	$202.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $117.89 / $2,951.70	Facility		$54.27	$117.89	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $292.85 / $1,340.00	Professional		$128.58	$292.85	$1,340.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $110.23 / $235.87	Professional		$58.91	$110.23	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.26 / $97.67 / $202.36	Facility		$54.26	$97.67	$202.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $212.40 / $331.64	Professional		$134.24	$212.40	$331.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $266.43 / $266.43 / $763.85	Facility		$266.43	$266.43	$763.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $419.04 / $1,340.00	Professional		$136.21	$419.04	$1,340.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $338.31 / $577.29	Professional		$232.11	$338.31	$577.29
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 $114.00 / $205.13 / $490.76	Professional		$114.00	$205.13	$490.76