Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $306.88 / $14,482.00	Facility		$117.16	$306.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $145.19 / $306.88	Professional		$101.86	$145.19	$306.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $309.95 / $828.21	Professional		$137.80	$309.95	$828.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.09 / $457.02 / $701.07	Facility		$391.09	$457.02	$701.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $312.23 / $607.11	Professional		$147.87	$312.23	$607.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.54 / $150.03 / $248.71	Facility		$101.54	$150.03	$248.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $160.18 / $1,124.00	Facility		$101.86	$160.18	$1,124.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $540.78 / $1,083.52	Professional		$164.70	$540.78	$1,083.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $189.79 / $298.35	Professional		$70.00	$189.79	$298.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $148.69 / $248.71	Facility		$99.59	$148.69	$248.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $344.99 / $505.77	Professional		$227.50	$344.99	$505.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179.86 / $738.12 / $2,000.00	Facility		$179.86	$738.12	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $621.09 / $1,083.52	Professional		$167.99	$621.09	$1,083.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $388.96 / $562.99	Professional		$388.96	$388.96	$562.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $401.91 / $530.82 / $741.30	Professional		$401.91	$530.82	$741.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $153.61 / $356.46 / $697.54	Professional		$153.61	$356.46	$697.54