Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.67 / $105.93 / $1,894.00	Facility		$70.67	$105.93	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $81.30 / $200.09	Professional		$49.79	$81.30	$200.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $740.28 / $740.28 / $740.28	Professional	50	$740.28	$740.28	$740.28
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 $69.31 / $104.55 / $319.63	Professional		$69.31	$104.55	$319.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $103.98 / $161.01 / $479.44	Professional	50	$103.98	$161.01	$479.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $159.01 / $256.47	Facility		$136.07	$159.01	$256.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $110.63 / $227.16	Professional		$61.55	$110.63	$227.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $70.67 / $139.47	Facility		$47.31	$70.67	$139.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $98.28 / $1,789.00	Facility		$50.27	$98.28	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $170.59 / $425.33	Professional		$71.34	$170.59	$425.33
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 $47.31 / $72.97 / $151.19	Facility		$47.31	$72.97	$151.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $119.90 / $179.71	Professional		$90.35	$119.90	$179.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $327.72 / $327.72 / $327.72	Facility		$327.72	$327.72	$327.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $286.10 / $425.33	Professional		$88.21	$286.10	$425.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $453.41 / $499.29	Professional		$148.11	$453.41	$499.29
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 $64.68 / $135.80 / $271.76	Professional		$64.68	$135.80	$271.76