Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.14 / $415.88 / $4,523.50	Facility		$96.14	$415.88	$4,523.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $133.38 / $266.60	Professional		$51.23	$133.38	$266.60
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 $71.05 / $210.78 / $594.91	Professional		$71.05	$210.78	$594.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.27 / $359.08 / $477.25	Facility		$307.27	$359.08	$477.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $163.76 / $407.00	Professional		$70.78	$163.76	$407.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $117.94 / $225.36	Facility		$56.06	$117.94	$225.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $141.75 / $1,449.00	Facility		$56.42	$141.75	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.04 / $433.46 / $1,042.93	Professional		$154.04	$433.46	$1,042.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $98.65 / $235.87	Professional		$58.91	$98.65	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $117.94 / $233.34	Facility		$56.14	$117.94	$233.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $213.52 / $384.97	Professional		$108.30	$213.52	$384.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.50 / $214.95 / $7,798.00	Facility		$120.50	$214.95	$7,798.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $433.46 / $1,042.93	Professional		$107.55	$433.46	$1,042.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $228.95 / $281.77 / $757.15	Professional		$228.95	$281.77	$757.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $338.78 / $601.34	Professional		$141.47	$338.78	$601.34