Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.82 / $469.64 / $14,482.00	Facility		$144.82	$469.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $209.91 / $397.47	Professional		$126.41	$209.91	$397.47
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 $172.55 / $443.93 / $1,149.65	Professional		$172.55	$443.93	$1,149.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $727.64 / $1,116.22	Facility		$622.66	$727.64	$1,116.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $445.58 / $960.73	Professional		$177.70	$445.58	$960.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.68 / $211.97 / $418.01	Facility		$125.68	$211.97	$418.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.68 / $219.98 / $2,783.00	Facility		$125.68	$219.98	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.99 / $738.88 / $1,708.32	Professional		$221.99	$738.88	$1,708.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $199.44 / $484.25	Professional		$50.00	$199.44	$484.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.10 / $211.38 / $418.01	Facility		$123.10	$211.38	$418.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $490.32 / $773.34	Professional		$285.89	$490.32	$773.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $921.48 / $2,922.50	Facility		$216.48	$921.48	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.31 / $971.76 / $1,708.32	Professional		$208.31	$971.76	$1,708.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $470.41 / $659.79 / $1,173.08	Professional		$470.41	$659.79	$1,173.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,628.00 / $5,471.00	Facility		$2,960.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $424.79 / $979.04	Professional		$208.73	$424.79	$979.04