Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $387.14 / $14,482.00	Facility		$122.42	$387.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $172.09 / $324.41	Professional		$105.29	$172.09	$324.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $361.21 / $947.61	Professional		$144.90	$361.21	$947.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.23 / $593.91 / $911.07	Facility		$508.23	$593.91	$911.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $364.65 / $786.36	Professional		$152.13	$364.65	$786.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $178.06 / $340.03	Facility		$108.68	$178.06	$340.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.10 / $185.81 / $2,781.00	Facility		$109.10	$185.81	$2,781.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $593.70 / $1,400.56	Professional		$179.64	$593.70	$1,400.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $239.67 / $371.98	Professional		$85.00	$239.67	$371.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $176.00 / $340.03	Facility		$107.00	$176.00	$340.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $403.92 / $637.07	Professional		$244.32	$403.92	$637.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $781.26 / $2,380.55	Facility		$186.01	$781.26	$2,380.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $804.47 / $1,400.56	Professional		$175.40	$804.47	$1,400.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $400.05 / $559.76 / $960.14	Professional		$400.05	$559.76	$960.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,242.00 / $6,486.14	Facility		$2,883.00	$3,242.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $360.05 / $783.31	Professional		$174.19	$360.05	$783.31