Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $161.30 / $287.48	Facility		$75.40	$161.30	$287.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $75.40 / $287.48	Professional		$65.04	$75.40	$287.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $199.63 / $516.80	Professional		$80.37	$199.63	$516.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.75 / $236.93 / $382.16	Facility		$202.75	$236.93	$382.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $243.14 / $323.56	Professional		$147.68	$243.14	$323.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $99.41 / $154.13	Facility		$75.40	$99.41	$154.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $1,100.00 / $2,043.20	Facility		$78.86	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $181.68 / $456.24	Professional		$92.26	$181.68	$456.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $200.86 / $239.36	Professional		$58.40	$200.86	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $99.41 / $154.13	Facility		$75.40	$99.41	$154.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $235.87 / $339.25	Professional		$152.75	$235.87	$339.25
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 $151.32 / $393.00 / $660.00	Professional		$151.32	$393.00	$660.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $344.10 / $344.10 / $344.10	Professional		$344.10	$344.10	$344.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $329.91 / $430.61 / $430.61	Professional		$329.91	$430.61	$430.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $217.74 / $344.46	Professional		$87.87	$217.74	$344.46