Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $225.02 / $14,482.00	Facility		$91.68	$225.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $132.94 / $265.44	Professional		$91.68	$132.94	$265.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.01 / $298.73 / $634.57	Professional		$142.01	$298.73	$634.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.12 / $488.61 / $749.53	Facility		$418.12	$488.61	$749.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.47 / $231.03 / $462.89	Professional		$123.47	$231.03	$462.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $190.38 / $439.32	Facility		$109.26	$190.38	$439.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.02 / $292.38 / $3,593.00	Facility		$110.02	$292.38	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $300.48 / $816.48	Professional		$151.68	$300.48	$816.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $156.39 / $370.26	Professional		$96.65	$156.39	$370.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $190.38 / $439.32	Facility		$109.26	$190.38	$439.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $364.57 / $526.84	Professional		$249.67	$364.57	$526.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $211.02 / $282.02 / $510.17	Facility		$211.02	$282.02	$510.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $544.20 / $1,179.83	Professional		$138.63	$544.20	$1,179.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $203.26 / $203.26 / $290.52	Professional		$203.26	$203.26	$290.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $462.75 / $677.35	Professional		$247.45	$462.75	$677.35
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 $149.81 / $265.88 / $629.35	Professional		$149.81	$265.88	$629.35