Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $169.60 / $14,482.00	Facility		$68.64	$169.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $157.44 / $262.13	Professional		$64.45	$157.44	$262.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,856.00 / $4,638.00	Facility		$1,314.00	$2,856.00	$4,638.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $187.77 / $507.66	Professional		$77.27	$187.77	$507.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.23 / $498.08 / $764.07	Facility		$426.23	$498.08	$764.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $160.85 / $397.20	Professional		$64.17	$160.85	$397.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $142.19 / $382.14	Facility		$56.88	$142.19	$382.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $142.56 / $382.14	Facility		$57.40	$142.56	$382.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.40 / $273.69 / $828.00	Professional		$157.40	$273.69	$828.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $126.96 / $268.54	Professional		$77.53	$126.96	$268.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $142.19 / $382.14	Facility		$56.88	$142.19	$382.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $246.78 / $462.39	Professional		$116.02	$246.78	$462.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $151.22 / $257.30	Facility		$120.98	$151.22	$257.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $326.85 / $1,007.04	Professional		$82.51	$326.85	$1,007.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $222.81 / $550.11	Professional		$127.85	$222.81	$550.11
United Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $244.66 / $595.76	Professional		$154.06	$244.66	$595.76