Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $160.81 / $14,482.00	Facility		$95.17	$160.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $95.17 / $313.11	Professional		$67.19	$95.17	$313.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,370.00 / $6,491.46	Facility		$2,740.00	$4,370.00	$6,491.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $224.18 / $481.94	Professional		$77.89	$224.18	$481.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $234.83 / $378.77	Facility		$200.95	$234.83	$378.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $240.60 / $365.33	Professional		$117.14	$240.60	$365.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.32 / $111.35 / $358.13	Facility		$85.32	$111.35	$358.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $358.13 / $7,700.00	Facility		$86.16	$358.13	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $266.58 / $548.34	Professional		$92.72	$266.58	$548.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $276.20	Professional		$50.00	$85.00	$276.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $85.32 / $111.19 / $358.13	Facility		$85.32	$111.19	$358.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $233.86 / $314.45	Professional		$151.44	$233.86	$314.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $475.13 / $617.51	Professional		$109.42	$475.13	$617.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $194.92 / $194.92	Professional		$194.92	$194.92	$194.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $469.56 / $469.56	Professional		$182.39	$469.56	$469.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $236.54 / $345.40	Professional		$84.48	$236.54	$345.40