Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $339.49 / $14,482.00	Facility		$101.47	$339.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $145.43 / $279.95	Professional		$85.61	$145.43	$279.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $315.32 / $831.45	Professional		$121.50	$315.32	$831.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.87 / $533.89 / $819.00	Facility		$456.87	$533.89	$819.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $321.88 / $703.63	Professional		$126.14	$321.88	$703.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.58 / $154.31 / $284.26	Facility		$89.58	$154.31	$284.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $161.49 / $2,247.00	Facility		$89.99	$161.49	$2,247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.05 / $521.79 / $1,250.24	Professional		$155.05	$521.79	$1,250.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $239.67 / $363.34	Professional		$85.00	$239.67	$363.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.58 / $154.31 / $284.26	Facility		$89.58	$154.31	$284.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $362.88 / $572.34	Professional		$200.64	$362.88	$572.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $647.40 / $1,567.84	Facility		$154.03	$647.40	$1,567.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $683.04 / $1,250.24	Professional		$145.35	$683.04	$1,250.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $324.51 / $463.88 / $859.13	Professional		$324.51	$463.88	$859.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $314.30 / $688.45	Professional		$150.91	$314.30	$688.45