Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.05 / $655.63 / $14,482.00	Facility		$106.05	$655.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $454.38 / $817.66	Professional		$98.37	$454.38	$817.66
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 $136.21 / $578.98 / $2,501.48	Professional		$136.21	$578.98	$2,501.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.10 / $1,596.39 / $2,121.73	Facility		$1,366.10	$1,596.39	$2,121.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $414.77 / $1,789.34	Professional		$132.38	$414.77	$1,789.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.97 / $259.88 / $953.98	Facility		$102.97	$259.88	$953.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.05 / $532.45 / $1,513.00	Facility		$106.05	$532.45	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.98 / $1,728.59 / $3,699.68	Professional		$492.98	$1,728.59	$3,699.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.68 / $436.16 / $1,109.04	Professional		$261.68	$436.16	$1,109.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.49 / $259.88 / $887.42	Facility		$105.49	$259.88	$887.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.30 / $521.21 / $1,645.48	Professional		$198.30	$521.21	$1,645.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $895.52 / $8,734.00	Facility		$213.30	$895.52	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $1,892.06 / $3,699.68	Professional		$207.34	$1,892.06	$3,699.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $438.32 / $577.34 / $3,528.42	Professional		$438.32	$577.34	$3,528.42
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 $312.17 / $1,004.62 / $2,296.71	Professional		$312.17	$1,004.62	$2,296.71