Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.28 / $242.80 / $14,482.00	Facility		$150.28	$242.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $150.28 / $432.72	Professional		$81.37	$150.28	$432.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $293.64 / $710.44	Professional		$118.48	$293.64	$710.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.58 / $355.92 / $574.09	Facility		$304.58	$355.92	$574.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $366.87 / $551.26	Professional		$222.30	$366.87	$551.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.70 / $184.81 / $250.36	Facility		$118.70	$184.81	$250.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $8,791.00 / $16,779.00	Facility		$131.25	$8,791.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.75 / $406.65 / $762.60	Professional		$154.75	$406.65	$762.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $168.07 / $239.36	Professional		$59.43	$168.07	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.70 / $184.81 / $250.36	Facility		$118.70	$184.81	$250.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.40 / $357.32 / $493.24	Professional		$231.40	$357.32	$493.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.34 / $683.59 / $1,442.43	Professional		$228.34	$683.59	$1,442.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $298.43 / $822.09 / $822.09	Professional		$298.43	$822.09	$822.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,903.00	Facility		$7,984.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $360.69 / $579.32	Professional		$128.12	$360.69	$579.32