Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $126.45 / $4,440.96	Facility		$56.56	$126.45	$4,440.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $126.28 / $396.91	Professional		$57.72	$126.28	$396.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $625.00	Professional	50	$144.25	$144.25	$625.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $138.52 / $346.50	Professional		$76.04	$138.52	$346.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $207.78 / $526.44	Professional	50	$123.03	$207.78	$526.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.15 / $424.37 / $651.00	Facility		$363.15	$424.37	$651.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $256.64 / $602.78	Professional		$112.61	$256.64	$602.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $123.37 / $227.30	Facility		$56.56	$123.37	$227.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $129.25 / $1,449.00	Facility		$59.48	$129.25	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $290.61 / $1,237.63	Professional		$141.94	$290.61	$1,237.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $135.30 / $315.53	Professional		$77.22	$135.30	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $123.37 / $227.30	Facility		$56.56	$123.37	$227.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $260.64 / $450.80	Professional		$140.34	$260.64	$450.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.27 / $371.27 / $371.27	Facility		$371.27	$371.27	$371.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $576.54 / $1,237.63	Professional		$142.47	$576.54	$1,237.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $353.88 / $794.29	Professional		$206.42	$353.88	$794.29
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 $125.07 / $223.85 / $639.38	Professional		$125.07	$223.85	$639.38