Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $133.56 / $14,482.00	Facility		$95.38	$133.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $112.17 / $319.52	Professional		$66.76	$112.17	$319.52
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 $69.52 / $125.55 / $328.53	Professional		$69.52	$125.55	$328.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.55 / $239.04 / $385.56	Facility		$204.55	$239.04	$385.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $155.24 / $342.07	Professional		$74.30	$155.24	$342.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $94.98 / $140.15	Facility		$65.51	$94.98	$140.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $121.26 / $1,789.00	Facility		$70.81	$121.26	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $156.88 / $580.08	Professional		$77.95	$156.88	$580.08
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 $65.51 / $93.83 / $156.86	Facility		$65.51	$93.83	$156.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $181.42 / $261.19	Professional		$125.45	$181.42	$261.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $450.06 / $450.06 / $450.06	Facility		$450.06	$450.06	$450.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $329.36 / $580.08	Professional		$111.01	$329.36	$580.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.23 / $621.48 / $752.54	Professional		$223.23	$621.48	$752.54
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 $78.02 / $152.94 / $384.33	Professional		$78.02	$152.94	$384.33