Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.39 / $319.73 / $14,482.00	Facility		$187.39	$319.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $187.39 / $795.90	Professional		$146.00	$187.39	$795.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $421.76 / $898.15	Professional		$150.71	$421.76	$898.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.90 / $469.65 / $757.53	Facility		$401.90	$469.65	$757.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.78 / $475.61 / $647.42	Professional		$222.78	$475.61	$647.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $228.69 / $810.67	Facility		$170.52	$228.69	$810.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.68 / $810.67 / $6,150.00	Facility		$173.68	$810.67	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $495.23 / $1,061.33	Professional		$178.22	$495.23	$1,061.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $212.80 / $402.72	Professional		$85.00	$212.80	$402.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $228.69 / $810.67	Facility		$170.52	$228.69	$810.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.45 / $474.75 / $609.27	Professional		$307.45	$474.75	$609.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,493.00 / $4,493.00 / $4,493.00	Facility		$4,493.00	$4,493.00	$4,493.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $747.80 / $1,760.09	Professional		$216.30	$747.80	$1,760.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $390.08 / $928.20 / $928.20	Professional		$390.08	$928.20	$928.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $457.69 / $682.13	Professional		$160.96	$457.69	$682.13