Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.33 / $144.32 / $14,482.00	Facility		$103.33	$144.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $103.33 / $245.51	Professional		$64.41	$103.33	$245.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $133.41 / $321.22	Professional		$72.09	$133.41	$321.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.18 / $204.04 / $499.57	Professional	50	$120.18	$204.04	$499.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $257.99 / $416.13	Facility		$220.77	$257.99	$416.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $169.95 / $299.19	Professional		$80.11	$169.95	$299.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $99.42 / $157.57	Facility		$75.91	$99.42	$157.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $126.47 / $5,639.00	Facility		$76.62	$126.47	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $176.59 / $614.96	Professional		$80.95	$176.59	$614.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $147.84	Professional		$39.92	$63.30	$147.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $101.36 / $170.02	Facility		$75.91	$101.36	$170.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $193.26 / $265.04	Professional		$134.55	$193.26	$265.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $488.28 / $488.28 / $488.28	Facility		$488.28	$488.28	$488.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $351.99 / $614.96	Professional		$116.82	$351.99	$614.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $676.56 / $804.28	Professional		$238.57	$676.56	$804.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $155.84 / $349.20	Professional		$80.95	$155.84	$349.20