Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.26 / $209.48 / $14,482.00	Facility		$151.26	$209.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $135.43 / $275.52	Professional		$93.54	$135.43	$275.52
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 $99.27 / $194.33 / $475.19	Professional		$99.27	$194.33	$475.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $168.55 / $292.94 / $739.62	Professional	50	$168.55	$292.94	$739.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.38 / $358.03 / $577.49	Facility		$306.38	$358.03	$577.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $244.94 / $417.23	Professional		$115.89	$244.94	$417.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $157.18 / $226.21	Facility		$106.10	$157.18	$226.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.26 / $202.13 / $1,789.00	Facility		$106.26	$202.13	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $281.38 / $2,205.30	Professional		$115.97	$281.38	$2,205.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.15 / $214.81	Professional		$58.91	$93.15	$214.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $157.18 / $236.61	Facility		$106.10	$157.18	$236.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $271.35 / $372.14	Professional		$196.30	$271.35	$372.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.82 / $707.82 / $707.82	Facility		$707.82	$707.82	$707.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.99 / $497.70 / $2,205.30	Professional		$181.99	$497.70	$2,205.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $332.69 / $980.61 / $1,121.50	Professional		$332.69	$980.61	$1,121.50
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 $112.45 / $229.60 / $518.37	Professional		$112.45	$229.60	$518.37