Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.79 / $159.26 / $1,894.00	Facility		$71.79	$159.26	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $112.87 / $422.85	Professional		$71.79	$112.87	$422.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $175.81 / $450.57	Professional		$96.51	$175.81	$450.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $363.30 / $557.29	Facility		$310.89	$363.30	$557.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.81 / $285.39 / $521.04	Professional		$128.81	$285.39	$521.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $121.86 / $231.37	Facility		$75.78	$121.86	$231.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $146.37 / $1,449.00	Facility		$83.99	$146.37	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $230.80 / $856.10	Professional		$129.27	$230.80	$856.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $100.37 / $254.49	Professional		$58.91	$100.37	$254.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.78 / $121.86 / $231.37	Facility		$75.78	$121.86	$231.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $276.86 / $408.08	Professional		$183.29	$276.86	$408.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.57 / $498.38 / $881.76	Professional		$175.57	$498.38	$881.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $449.61 / $449.61 / $686.58	Professional		$449.61	$449.61	$686.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $204.78 / $499.32	Professional		$120.90	$204.78	$499.32