Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $170.08 / $4,343.63	Facility		$80.38	$170.08	$4,343.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $83.91 / $279.61	Professional		$70.00	$83.91	$279.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $225.00 / $583.51	Professional		$82.56	$225.00	$583.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.37 / $251.67 / $405.94	Facility		$215.37	$251.67	$405.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $257.48 / $342.17	Professional		$162.47	$257.48	$342.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $104.89 / $166.28	Facility		$80.38	$104.89	$166.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $2,781.00 / $6,150.00	Facility		$83.15	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $226.67 / $487.30	Professional		$90.96	$226.67	$487.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $107.42 / $236.34	Professional		$59.78	$107.42	$236.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $104.89 / $166.28	Facility		$80.38	$104.89	$166.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $244.90 / $352.24	Professional		$158.60	$244.90	$352.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,989.20 / $4,989.20 / $4,989.20	Facility		$4,989.20	$4,989.20	$4,989.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $350.06 / $1,870.00 / $1,870.00	Professional		$350.06	$1,870.00	$1,870.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.69 / $456.00 / $456.00	Professional		$185.69	$456.00	$456.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $197.93 / $367.91	Professional		$82.83	$197.93	$367.91