Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $110.04 / $1,894.00	Facility		$27.39	$110.04	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $112.37 / $529.00	Professional		$27.39	$112.37	$529.00
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 $38.29 / $87.12 / $186.83	Professional		$38.29	$87.12	$186.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.29 / $369.61 / $567.00	Facility		$316.29	$369.61	$567.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $154.06 / $520.78	Professional		$51.48	$154.06	$520.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $99.58 / $224.37	Facility		$28.64	$99.58	$224.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $125.23 / $1,449.00	Facility		$29.83	$125.23	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $260.44 / $862.48	Professional		$141.55	$260.44	$862.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $131.81 / $315.53	Professional		$76.43	$131.81	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $99.58 / $224.37	Facility		$28.64	$99.58	$224.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $134.02 / $381.10	Professional		$67.89	$134.02	$381.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $134.74 / $180.78	Facility		$134.74	$134.74	$180.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $438.07 / $862.48	Professional		$69.54	$438.07	$862.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $386.34 / $686.21	Professional		$138.15	$386.34	$686.21
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 $136.41 / $233.02 / $549.09	Professional		$136.41	$233.02	$549.09