Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $94.93 / $1,894.00	Facility		$36.79	$94.93	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $83.02 / $320.64	Professional		$36.79	$83.02	$320.64
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 $49.47 / $90.13 / $247.24	Professional		$49.47	$90.13	$247.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.90 / $278.00 / $426.46	Facility		$237.90	$278.00	$426.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $166.31 / $393.13	Professional		$68.11	$166.31	$393.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $82.55 / $148.59	Facility		$36.79	$82.55	$148.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $90.78 / $1,449.00	Facility		$40.95	$90.78	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $176.74 / $656.16	Professional		$79.95	$176.74	$656.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $101.24 / $235.87	Professional		$58.42	$101.24	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $82.55 / $148.59	Facility		$36.79	$82.55	$148.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $170.95 / $295.66	Professional		$93.05	$170.95	$295.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.31 / $120.31 / $184.67	Facility		$120.31	$120.31	$184.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $340.74 / $656.16	Professional		$93.27	$340.74	$656.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $231.68 / $517.99	Professional		$133.37	$231.68	$517.99
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 $74.70 / $146.37 / $351.39	Professional		$74.70	$146.37	$351.39