Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.30 / $1,894.00 / $14,482.00	Facility		$124.30	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $114.78 / $162.02	Professional		$98.35	$114.78	$162.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,297.00 / $4,433.00	Facility		$1,139.00	$2,297.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $185.53 / $549.79	Professional		$101.67	$185.53	$549.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.41 / $293.80 / $450.69	Facility		$251.41	$293.80	$450.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $268.60 / $353.73	Professional		$129.44	$268.60	$353.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.10 / $122.61 / $193.54	Facility		$97.10	$122.61	$193.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.35 / $145.43 / $1,789.00	Facility		$98.35	$145.43	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $197.55 / $729.92	Professional		$109.69	$197.55	$729.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $96.23 / $223.19	Professional		$59.78	$96.23	$223.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.88 / $124.30 / $193.54	Facility		$97.88	$124.30	$193.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $226.39 / $406.60	Professional		$172.20	$226.39	$406.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $434.44 / $434.44	Facility		$110.57	$434.44	$434.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $502.05 / $729.92	Professional		$150.76	$502.05	$729.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $513.03 / $513.03 / $513.03	Professional		$513.03	$513.03	$513.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $677.70 / $677.70	Professional		$534.41	$677.70	$677.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,153.10	Facility		$1,034.00	$1,590.00	$2,153.10
United Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $179.59 / $426.74	Professional		$105.74	$179.59	$426.74