Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $148.41 / $14,482.00	Facility		$108.10	$148.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $108.10 / $339.75	Professional		$76.08	$108.10	$339.75
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 $73.73 / $142.03 / $373.75	Professional		$73.73	$142.03	$373.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.98 / $266.42 / $429.72	Facility		$227.98	$266.42	$429.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $172.88 / $396.71	Professional		$85.04	$172.88	$396.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $102.91 / $155.96	Facility		$70.59	$102.91	$155.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $129.97 / $1,789.00	Facility		$78.34	$129.97	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $178.10 / $845.36	Professional		$84.81	$178.10	$845.36
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 $70.59 / $102.24 / $163.59	Facility		$70.59	$102.24	$163.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $199.57 / $287.31	Professional		$138.44	$199.57	$287.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $502.50 / $502.50 / $502.50	Facility		$502.50	$502.50	$502.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $366.17 / $845.36	Professional		$120.99	$366.17	$845.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $337.64 / $337.64 / $408.33	Professional		$337.64	$337.64	$408.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $359.87 / $695.69 / $836.58	Professional		$359.87	$695.69	$836.58
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 $84.81 / $173.02 / $353.32	Professional		$84.81	$173.02	$353.32