Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $217.93 / $14,482.00	Facility		$44.16	$217.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $162.69 / $343.84	Professional		$44.02	$162.69	$343.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $133.59 / $302.04	Professional		$54.78	$133.59	$302.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.32 / $678.15 / $901.32	Facility		$580.32	$678.15	$901.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $207.36 / $981.75	Professional		$63.46	$207.36	$981.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $111.18 / $338.29	Facility		$44.16	$111.18	$338.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $217.93 / $1,449.00	Facility		$46.89	$217.93	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $715.90 / $1,885.79	Professional		$205.30	$715.90	$1,885.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $187.12 / $446.58	Professional		$112.40	$187.12	$446.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $111.18 / $338.29	Facility		$44.16	$111.18	$338.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $222.65 / $680.90	Professional		$100.68	$222.65	$680.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.41 / $387.66 / $1,300.00	Facility		$114.41	$387.66	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $788.76 / $1,885.79	Professional		$144.44	$788.76	$1,885.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $147.41 / $742.38	Professional		$147.41	$147.41	$742.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $282.58 / $1,374.90	Professional		$144.94	$282.58	$1,374.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $499.02 / $920.94	Professional		$202.82	$499.02	$920.94