Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $141.38 / $1,894.00	Facility		$62.40	$141.38	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $86.31 / $292.64	Professional		$62.40	$86.31	$292.64
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 $82.14 / $137.09 / $383.75	Professional		$82.14	$137.09	$383.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.82 / $228.49 / $576.10	Professional	50	$125.82	$228.49	$576.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $284.32 / $436.15	Facility		$243.30	$284.32	$436.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $246.51 / $407.63	Professional		$105.07	$246.51	$407.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $95.47 / $168.23	Facility		$62.84	$95.47	$168.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $112.32 / $1,449.00	Facility		$65.88	$112.32	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $186.05 / $684.24	Professional		$94.73	$186.05	$684.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $92.64 / $170.91	Professional		$41.03	$92.64	$170.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $95.47 / $168.23	Facility		$62.84	$95.47	$168.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $215.67 / $309.16	Professional		$148.50	$215.67	$309.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $94.37 / $315.88	Facility		$94.37	$94.37	$315.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $389.88 / $684.24	Professional		$149.74	$389.88	$684.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $230.81 / $394.97 / $537.15	Professional		$230.81	$394.97	$537.15
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 $92.14 / $158.74 / $376.24	Professional		$92.14	$158.74	$376.24