Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $79.11 / $1,894.00	Facility		$48.78	$79.11	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $48.25 / $66.77	Professional		$31.63	$48.25	$66.77
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 $32.01 / $62.98 / $151.29	Professional		$32.01	$62.98	$151.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $118.99 / $191.93	Facility		$101.83	$118.99	$191.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $79.75 / $138.38	Professional		$36.95	$79.75	$138.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $47.47 / $68.92	Facility		$35.15	$47.47	$68.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.88 / $68.92 / $8,384.00	Facility		$35.88	$68.92	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $83.24 / $241.20	Professional		$40.06	$83.24	$241.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $30.95 / $72.74	Professional		$19.34	$30.95	$72.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $47.47 / $68.92	Facility		$35.15	$47.47	$68.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $87.02 / $125.40	Professional		$60.14	$87.02	$125.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $226.32 / $226.32 / $226.32	Facility		$226.32	$226.32	$226.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $147.19 / $285.44	Professional		$51.38	$147.19	$285.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $313.04 / $371.99	Professional		$127.83	$313.04	$371.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $73.45 / $166.58	Professional		$39.85	$73.45	$166.58