Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $1,894.00 / $14,482.00	Facility		$141.10	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $484.80 / $779.66	Professional		$141.10	$484.80	$779.66
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 $42.51 / $187.58 / $376.20	Professional		$42.51	$187.58	$376.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.29 / $657.09 / $1,007.99	Facility		$562.29	$657.09	$1,007.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $86.13 / $292.50	Professional		$75.79	$86.13	$292.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $242.78 / $447.85	Facility		$90.86	$242.78	$447.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $1,368.00 / $2,090.40	Facility		$301.00	$1,368.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $93.22 / $204.98	Professional		$53.73	$93.22	$204.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $160.91	Professional		$50.00	$55.00	$160.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $242.78 / $447.85	Facility		$90.86	$242.78	$447.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $334.91 / $777.47 / $1,090.45	Professional		$334.91	$777.47	$1,090.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,525.91 / $1,525.91 / $1,525.91	Facility		$1,525.91	$1,525.91	$1,525.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.78 / $247.78 / $418.34	Professional		$247.78	$247.78	$418.34
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 $53.73 / $132.56 / $224.73	Professional		$53.73	$132.56	$224.73