Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.31 / $385.58 / $14,482.00	Facility		$119.31	$385.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $174.47 / $601.02	Professional		$104.01	$174.47	$601.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $361.05 / $939.87	Professional		$138.99	$361.05	$939.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.43 / $591.79 / $907.84	Facility		$506.43	$591.79	$907.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $363.35 / $783.24	Professional		$147.88	$363.35	$783.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.64 / $172.46 / $316.52	Facility		$102.64	$172.46	$316.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.01 / $181.09 / $1,124.00	Facility		$103.01	$181.09	$1,124.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $587.47 / $1,394.64	Professional		$180.45	$587.47	$1,394.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $239.67 / $368.30	Professional		$85.00	$239.67	$368.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $171.37 / $316.52	Facility		$100.66	$171.37	$316.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $402.48 / $634.79	Professional		$237.75	$402.48	$634.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $759.84 / $2,000.00	Facility		$180.95	$759.84	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $801.27 / $1,394.64	Professional		$172.47	$801.27	$1,394.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $384.86 / $543.98 / $956.32	Professional		$384.86	$543.98	$956.32
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 $178.28 / $376.14 / $796.26	Professional		$178.28	$376.14	$796.26