Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $69.39 / $1,894.00	Facility		$22.70	$69.39	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $79.81 / $318.00	Professional		$23.43	$79.81	$318.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
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 $35.90 / $79.76 / $324.64	Professional		$35.90	$79.76	$324.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.85 / $120.11 / $496.21	Professional	50	$53.85	$120.11	$496.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $103.20 / $158.31	Facility		$88.31	$103.20	$158.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $96.26 / $148.34	Professional		$46.76	$96.26	$148.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $46.04 / $211.20	Facility		$23.43	$46.04	$211.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $55.13 / $2,951.70	Facility		$26.47	$55.13	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $228.50 / $1,928.00	Professional		$46.21	$228.50	$1,928.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $67.92 / $124.56	Professional		$27.49	$67.92	$124.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $40.86 / $211.20	Facility		$23.43	$40.86	$211.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $77.18 / $118.23	Professional		$54.00	$77.18	$118.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $308.80 / $308.80 / $308.80	Facility		$308.80	$308.80	$308.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $141.88 / $1,928.00	Professional		$55.87	$141.88	$1,928.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $195.50 / $536.17	Professional		$134.00	$195.50	$536.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $138.41 / $502.52	Professional		$39.07	$138.41	$502.52