Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $157.86 / $1,894.00	Facility		$71.31	$157.86	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $137.57 / $378.07	Professional		$71.31	$137.57	$378.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $95.88 / $174.66 / $441.24	Professional		$95.88	$174.66	$441.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $149.44 / $261.99 / $661.86	Professional	50	$149.44	$261.99	$661.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.49 / $463.33 / $710.77	Facility		$396.49	$463.33	$710.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $300.20 / $655.89	Professional		$133.21	$300.20	$655.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $139.84 / $255.19	Facility		$71.31	$139.84	$255.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $159.60 / $2,951.70	Facility		$73.68	$159.60	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $288.64 / $2,139.00	Professional		$151.52	$288.64	$2,139.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $148.14 / $315.53	Professional		$77.22	$148.14	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $139.84 / $255.19	Facility		$71.31	$139.84	$255.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $311.04 / $485.65	Professional		$174.66	$311.04	$485.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.65 / $346.65 / $982.04	Facility		$346.65	$346.65	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $542.86 / $2,139.00	Professional		$171.96	$542.86	$2,139.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $449.55 / $864.31	Professional		$257.70	$449.55	$864.31
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 $142.55 / $248.24 / $611.73	Professional		$142.55	$248.24	$611.73