Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $139.82 / $14,482.00	Facility		$87.00	$139.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $87.00 / $260.33	Professional		$39.89	$87.00	$260.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,351.00 / $4,686.00 / $8,456.00	Facility		$2,351.00	$4,686.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $155.82 / $422.80	Professional		$68.48	$155.82	$422.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $205.34 / $331.21	Facility		$175.72	$205.34	$331.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $211.67 / $282.89	Professional		$128.01	$211.67	$282.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $104.41 / $147.00	Facility		$68.34	$104.41	$147.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $2,553.00 / $7,700.00	Facility		$74.56	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $203.01 / $401.00	Professional		$81.61	$203.01	$401.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $98.23 / $163.35	Professional		$41.03	$98.23	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $104.41 / $147.00	Facility		$68.34	$104.41	$147.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $201.74 / $284.58	Professional		$130.65	$201.74	$284.58
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 $131.74 / $340.05 / $641.54	Professional		$131.74	$340.05	$641.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $359.82 / $359.82 / $359.82	Professional		$359.82	$359.82	$359.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $474.34 / $474.34	Professional		$198.95	$474.34	$474.34
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 $81.13 / $196.66 / $334.52	Professional		$81.13	$196.66	$334.52