Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $99.41 / $1,894.00	Facility		$45.14	$99.41	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $68.98 / $214.16	Professional		$45.14	$68.98	$214.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $110.56 / $281.77	Professional		$68.04	$110.56	$281.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $220.08 / $337.61	Facility		$188.33	$220.08	$337.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $185.54 / $317.80	Professional		$80.08	$185.54	$317.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $70.69 / $144.46	Facility		$46.06	$70.69	$144.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $94.84 / $1,449.00	Facility		$47.34	$94.84	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $163.54 / $557.44	Professional		$89.31	$163.54	$557.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $67.18 / $163.35	Professional		$39.92	$67.18	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $70.69 / $144.46	Facility		$46.06	$70.69	$144.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $160.93 / $237.21	Professional		$107.86	$160.93	$237.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $303.98 / $824.00	Professional		$110.44	$303.98	$824.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $280.52 / $287.08 / $418.79	Professional		$280.52	$287.08	$418.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $154.94 / $327.29	Professional		$85.43	$154.94	$327.29