Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $146.21 / $260.57	Facility		$68.31	$146.21	$260.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $68.31 / $243.99	Professional		$58.75	$68.31	$243.99
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 $72.52 / $182.82 / $496.00	Professional		$72.52	$182.82	$496.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.93 / $213.77 / $344.80	Facility		$182.93	$213.77	$344.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $219.91 / $292.06	Professional		$133.86	$219.91	$292.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $90.60 / $139.71	Facility		$68.31	$90.60	$139.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $1,100.00 / $2,043.20	Facility		$71.48	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $164.94 / $414.22	Professional		$84.12	$164.94	$414.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $142.07 / $163.35	Professional		$58.40	$142.07	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $90.60 / $139.71	Facility		$68.31	$90.60	$139.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $214.79 / $308.93	Professional		$139.10	$214.79	$308.93
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 $136.87 / $356.80 / $660.00	Professional		$136.87	$356.80	$660.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $311.04 / $311.04 / $311.04	Professional		$311.04	$311.04	$311.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $389.49 / $389.49	Professional		$299.43	$389.49	$389.49
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 $80.11 / $197.26 / $312.74	Professional		$80.11	$197.26	$312.74