Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $2,461.23 / $9,402.36	Facility		$143.88	$2,461.23	$9,402.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $143.88 / $432.04	Professional		$104.75	$143.88	$432.04
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 $116.37 / $326.20 / $685.50	Professional		$116.37	$326.20	$685.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.29 / $369.61 / $596.16	Facility		$316.29	$369.61	$596.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $367.85 / $505.00	Professional		$162.87	$367.85	$505.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $162.91 / $313.55	Facility		$120.24	$162.91	$313.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $313.55 / $8,384.00	Facility		$120.24	$313.55	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $355.01 / $807.29	Professional		$133.88	$355.01	$807.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $162.93 / $250.69	Professional		$58.91	$162.93	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $162.91 / $313.55	Facility		$120.24	$162.91	$313.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.35 / $360.33 / $476.12	Professional		$233.35	$360.33	$476.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $568.79 / $886.56	Professional		$167.30	$568.79	$886.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $717.93 / $717.93	Professional		$108.32	$717.93	$717.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $354.62 / $508.51	Professional		$133.88	$354.62	$508.51