Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.44 / $256.95 / $14,482.00	Facility		$158.44	$256.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $158.44 / $503.66	Professional		$89.59	$158.44	$503.66
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 $125.72 / $305.82 / $763.86	Professional		$125.72	$305.82	$763.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $372.77 / $601.27	Facility		$319.00	$372.77	$601.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.25 / $386.86 / $580.61	Professional		$235.25	$386.86	$580.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.62 / $199.34 / $423.90	Facility		$125.62	$199.34	$423.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.52 / $8,791.00 / $16,779.00	Facility		$145.52	$8,791.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $421.26 / $737.32	Professional		$155.26	$421.26	$737.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $199.83 / $411.77	Professional		$85.00	$199.83	$411.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.62 / $199.34 / $423.90	Facility		$125.62	$199.34	$423.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $259.35 / $400.48 / $520.12	Professional		$259.35	$400.48	$520.12
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 $240.78 / $644.16 / $2,068.84	Professional		$240.78	$644.16	$2,068.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $650.08 / $650.08 / $650.08	Professional		$650.08	$650.08	$650.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $866.95 / $866.95	Professional		$583.45	$866.95	$866.95
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $408.22 / $619.16	Professional		$151.56	$408.22	$619.16