Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $107.17 / $3,119.00	Facility		$51.21	$107.17	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $105.93 / $312.99	Professional		$51.21	$105.93	$312.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $125.41 / $320.39	Professional		$80.65	$125.41	$320.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $348.55 / $534.69	Facility		$298.27	$348.55	$534.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $216.26 / $498.38	Professional		$95.25	$216.26	$498.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $105.79 / $212.48	Facility		$51.21	$105.79	$212.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $120.27 / $1,449.00	Facility		$53.48	$120.27	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $237.44 / $836.50	Professional		$129.85	$237.44	$836.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $100.37 / $235.87	Professional		$58.91	$100.37	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $105.79 / $212.48	Facility		$51.21	$105.79	$212.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $228.95 / $366.49	Professional		$118.22	$228.95	$366.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.66 / $234.66 / $234.66	Facility		$234.66	$234.66	$234.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $420.70 / $854.46	Professional		$125.57	$420.70	$854.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.93 / $368.03 / $656.71	Professional		$265.93	$368.03	$656.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $225.51 / $491.14	Professional		$127.33	$225.51	$491.14