Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.15 / $606.91 / $11,611.70	Facility		$137.15	$606.91	$11,611.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $208.28 / $770.45	Professional		$134.68	$208.28	$770.45
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 $208.28 / $434.54 / $883.19	Professional		$208.28	$434.54	$883.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.34 / $699.21 / $1,072.60	Facility		$598.34	$699.21	$1,072.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $316.60 / $657.64	Professional		$168.40	$316.60	$657.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $266.77 / $612.51	Facility		$161.60	$266.77	$612.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.83 / $428.37 / $5,169.00	Facility		$174.83	$428.37	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $417.44 / $1,223.35	Professional		$208.32	$417.44	$1,223.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $186.96 / $419.70	Professional		$102.76	$186.96	$419.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $266.77 / $612.51	Facility		$161.60	$266.77	$612.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.57 / $522.16 / $732.38	Professional		$363.57	$522.16	$732.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $319.35 / $426.81 / $774.68	Facility		$319.35	$426.81	$774.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $777.80 / $1,665.36	Professional		$210.13	$777.80	$1,665.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $701.33 / $962.35	Professional		$293.20	$701.33	$962.35
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 $194.49 / $330.61 / $884.37	Professional		$194.49	$330.61	$884.37