Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $208.17 / $14,482.00	Facility		$149.97	$208.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $116.56 / $198.63	Professional		$86.76	$116.56	$198.63
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 $96.92 / $193.63 / $463.63	Professional		$96.92	$193.63	$463.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.05 / $296.14 / $707.85	Professional	50	$151.05	$296.14	$707.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.05 / $329.60 / $531.63	Facility		$282.05	$329.60	$531.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $236.93 / $381.66	Professional		$108.39	$236.93	$381.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.76 / $148.56 / $202.46	Facility		$99.76	$148.56	$202.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $184.40 / $1,789.00	Facility		$100.16	$184.40	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $249.48 / $1,906.00	Professional		$109.83	$249.48	$1,906.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $189.39 / $189.39 / $275.70	Professional	50	$189.39	$189.39	$275.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.48 / $219.68	Professional		$58.91	$93.48	$219.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.76 / $148.56 / $217.15	Facility		$99.76	$148.56	$217.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $247.10 / $343.20	Professional		$193.44	$247.10	$343.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.40 / $707.40 / $707.40	Facility		$707.40	$707.40	$707.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $478.40 / $1,906.00	Professional		$166.81	$478.40	$1,906.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $304.33 / $979.98 / $1,025.85	Professional		$304.33	$979.98	$1,025.85
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 $105.38 / $199.58 / $437.33	Professional		$105.38	$199.58	$437.33