Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $124.65 / $446.32	Facility		$61.06	$124.65	$446.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $63.48 / $229.01	Professional		$39.51	$63.48	$229.01
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 $47.52 / $80.50 / $191.93	Professional		$47.52	$80.50	$191.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.30 / $188.49 / $304.02	Facility		$161.30	$188.49	$304.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $122.22 / $218.49	Professional		$51.92	$122.22	$218.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $66.48 / $114.89	Facility		$44.56	$66.48	$114.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $88.64 / $1,778.00	Facility		$44.56	$88.64	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $128.84 / $1,937.21	Professional		$59.12	$128.84	$1,937.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $145.26	Professional		$39.92	$63.30	$145.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $66.48 / $114.89	Facility		$43.91	$66.48	$114.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $132.27 / $195.81	Professional		$79.30	$132.27	$195.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $398.65 / $398.65 / $398.65	Facility		$398.65	$398.65	$398.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $257.04 / $1,937.21	Professional		$76.65	$257.04	$1,937.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $171.61 / $394.04 / $587.29	Professional		$171.61	$394.04	$587.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $105.24 / $251.95	Professional		$58.28	$105.24	$251.95