Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.94 / $300.44 / $14,482.00	Facility		$185.94	$300.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $185.94 / $559.92	Professional		$104.78	$185.94	$559.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $362.05 / $902.51	Professional		$148.72	$362.05	$902.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.26 / $433.85 / $699.78	Facility		$371.26	$433.85	$699.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.71 / $452.73 / $675.21	Professional		$253.71	$452.73	$675.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $234.86 / $336.66	Facility		$146.88	$234.86	$336.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $1,124.00 / $2,043.20	Facility		$171.35	$1,124.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $496.76 / $875.94	Professional		$184.45	$496.76	$875.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $224.64 / $411.77	Professional		$85.00	$224.64	$411.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $234.86 / $336.66	Facility		$146.88	$234.86	$336.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.50 / $471.74 / $608.66	Professional		$305.50	$471.74	$608.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,260.00 / $2,260.00 / $2,260.00	Facility		$2,260.00	$2,260.00	$2,260.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $259.88 / $745.03 / $2,622.00	Professional		$259.88	$745.03	$2,622.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $768.08 / $768.08 / $768.08	Professional		$768.08	$768.08	$768.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $682.20 / $1,014.51 / $1,014.51	Professional		$682.20	$1,014.51	$1,014.51
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 $178.27 / $479.07 / $732.72	Professional		$178.27	$479.07	$732.72