Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.07 / $299.81 / $14,482.00	Facility		$123.07	$299.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $131.97 / $508.64	Professional		$122.26	$131.97	$508.64
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 $144.50 / $310.35 / $654.91	Professional		$144.50	$310.35	$654.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.06 / $435.95 / $668.77	Facility		$373.06	$435.95	$668.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $308.24 / $425.30	Professional		$169.38	$308.24	$425.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.25 / $227.02 / $451.14	Facility		$133.25	$227.02	$451.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.28 / $442.05 / $1,789.00	Facility		$146.28	$442.05	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $299.54 / $792.51	Professional		$155.15	$299.54	$792.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $171.21 / $386.45	Professional		$98.09	$171.21	$386.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.25 / $227.02 / $451.14	Facility		$133.25	$227.02	$451.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $368.09 / $522.38	Professional		$287.08	$368.09	$522.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $824.68 / $2,000.00 / $2,000.00	Facility		$824.68	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $615.20 / $2,380.89	Professional		$239.25	$615.20	$2,380.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $270.93 / $270.93 / $270.93	Professional		$270.93	$270.93	$270.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $521.47 / $622.37	Professional		$280.89	$521.47	$622.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $292.95 / $609.49	Professional		$151.86	$292.95	$609.49