Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.30 / $471.49 / $11,155.20	Facility		$150.30	$471.49	$11,155.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $203.74 / $585.35	Professional		$150.30	$203.74	$585.35
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 $216.91 / $446.57 / $951.27	Professional		$216.91	$446.57	$951.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.05 / $712.90 / $1,093.60	Facility		$610.05	$712.90	$1,093.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $359.61 / $628.14	Professional		$182.58	$359.61	$628.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.97 / $285.64 / $623.85	Facility		$175.97	$285.64	$623.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.00 / $439.03 / $3,995.00	Facility		$189.00	$439.03	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $430.56 / $1,337.20	Professional		$215.10	$430.56	$1,337.20
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 $175.97 / $285.64 / $623.85	Facility		$175.97	$285.64	$623.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $392.78 / $542.69 / $750.72	Professional		$392.78	$542.69	$750.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $348.74 / $466.09 / $1,266.06	Facility		$348.74	$466.09	$1,266.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $855.25 / $1,700.64	Professional		$218.75	$855.25	$1,700.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $362.38 / $768.02 / $982.66	Professional		$362.38	$768.02	$982.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.55 / $359.56 / $904.58	Professional		$209.55	$359.56	$904.58