Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $87.66 / $1,894.00	Facility		$39.40	$87.66	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $85.36 / $306.38	Professional		$40.31	$85.36	$306.38
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 $62.33 / $124.42 / $330.46	Professional		$62.33	$124.42	$330.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $249.57 / $382.84	Facility		$213.57	$249.57	$382.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $166.02 / $355.03	Professional		$81.40	$166.02	$355.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $85.53 / $164.83	Facility		$42.15	$85.53	$164.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $100.84 / $2,951.70	Facility		$46.11	$100.84	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $236.78 / $1,017.00	Professional		$98.66	$236.78	$1,017.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $109.78 / $241.52	Professional		$58.91	$109.78	$241.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $85.53 / $164.83	Facility		$42.15	$85.53	$164.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $173.57 / $281.39	Professional		$99.91	$173.57	$281.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $99.70 / $259.45	Facility		$99.70	$99.70	$259.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $283.29 / $1,017.00	Professional		$100.08	$283.29	$1,017.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $148.59 / $286.31	Professional		$148.59	$148.59	$286.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $297.39 / $481.20	Professional		$203.30	$297.39	$481.20
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 $82.81 / $200.84 / $437.35	Professional		$82.81	$200.84	$437.35