Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.65 / $281.70 / $1,894.00	Facility		$101.65	$281.70	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $201.19 / $555.44	Professional		$75.56	$201.19	$555.44
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 $92.42 / $170.85 / $375.03	Professional		$92.42	$170.85	$375.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $149.58 / $256.27 / $562.54	Professional	50	$149.58	$256.27	$562.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.32 / $582.33 / $939.27	Facility		$498.32	$582.33	$939.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $287.52 / $791.48	Professional		$108.76	$287.52	$791.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $162.47 / $334.55	Facility		$74.83	$162.47	$334.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $258.22 / $1,789.00	Facility		$74.83	$258.22	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $393.73 / $1,474.50	Professional		$187.33	$393.73	$1,474.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $153.96 / $353.15	Professional		$95.17	$153.96	$353.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $166.68 / $334.55	Facility		$74.83	$166.68	$334.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $292.14 / $595.10	Professional		$148.78	$292.14	$595.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $473.10 / $473.10 / $473.10	Facility		$473.10	$473.10	$473.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $686.06 / $1,474.50	Professional		$135.74	$686.06	$1,474.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.23 / $652.10 / $1,795.24	Professional		$288.23	$652.10	$1,795.24
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 $95.00 / $384.08 / $1,169.00	Professional		$95.00	$384.08	$1,169.00