Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.74 / $264.06 / $1,894.00	Facility		$98.74	$264.06	$1,894.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $267.77 / $267.77 / $267.77	Facility	52	$267.77	$267.77	$267.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $122.33 / $545.46	Professional		$95.95	$122.33	$545.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.41 / $102.41 / $102.41	Professional	52	$102.41	$102.41	$102.41
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 $111.79 / $210.26 / $583.50	Professional		$111.79	$210.26	$583.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.52 / $399.10 / $612.23	Facility		$341.52	$399.10	$612.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $375.59 / $568.71	Professional		$159.88	$375.59	$568.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $145.84 / $248.42	Facility		$106.46	$145.84	$248.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $171.43 / $1,449.00	Facility		$111.08	$171.43	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $234.67 / $870.45	Professional		$125.23	$234.67	$870.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $134.27 / $290.37	Professional		$70.00	$134.27	$290.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $145.47 / $248.42	Facility		$106.46	$145.47	$248.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.16 / $316.80 / $454.24	Professional		$248.16	$316.80	$454.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.47 / $171.47 / $519.25	Facility		$171.47	$171.47	$519.25
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $415.40 / $415.40 / $415.40	Facility	52	$415.40	$415.40	$415.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.22 / $543.96 / $959.44	Professional		$231.22	$543.96	$959.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $353.98 / $634.84 / $749.42	Professional		$353.98	$634.84	$749.42
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 $125.23 / $212.89 / $507.69	Professional		$125.23	$212.89	$507.69