Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $438.65 / $7,566.16	Facility		$99.11	$438.65	$7,566.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $146.49 / $438.65	Professional		$99.11	$146.49	$438.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $325.36 / $665.96	Professional		$155.33	$325.36	$665.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.07 / $531.78 / $815.76	Facility		$455.07	$531.78	$815.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $272.14 / $440.74	Professional		$129.85	$272.14	$440.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $202.16 / $459.00	Facility		$115.96	$202.16	$459.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.99 / $323.01 / $5,169.00	Facility		$117.99	$323.01	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $315.54 / $884.88	Professional		$149.38	$315.54	$884.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $155.91 / $349.74	Professional		$83.91	$155.91	$349.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $202.16 / $459.00	Facility		$115.96	$202.16	$459.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.74 / $388.52 / $550.64	Professional		$261.74	$388.52	$550.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $230.81 / $308.48 / $558.16	Facility		$230.81	$308.48	$558.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.32 / $573.60 / $1,265.52	Professional		$195.32	$573.60	$1,265.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $508.11 / $732.89	Professional		$215.60	$508.11	$732.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $256.35 / $633.73	Professional		$153.26	$256.35	$633.73