Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $453.33 / $14,482.00	Facility		$135.22	$453.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $200.87 / $372.00	Professional		$116.15	$200.87	$372.00
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 $166.03 / $425.62 / $1,098.80	Professional		$166.03	$425.62	$1,098.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.15 / $701.32 / $1,075.83	Facility		$600.15	$701.32	$1,075.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $434.96 / $924.66	Professional		$168.75	$434.96	$924.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.11 / $204.37 / $355.78	Facility		$117.11	$204.37	$355.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.44 / $216.87 / $2,783.00	Facility		$118.44	$216.87	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $732.34 / $1,640.96	Professional		$217.64	$732.34	$1,640.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $296.45 / $439.74	Professional		$103.10	$296.45	$439.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.03 / $204.37 / $348.57	Facility		$116.03	$204.37	$348.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.51 / $471.60 / $743.82	Professional		$265.51	$471.60	$743.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $862.86 / $2,165.76	Facility		$203.80	$862.86	$2,165.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $911.76 / $1,640.96	Professional		$198.13	$911.76	$1,640.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $438.37 / $620.86 / $1,129.02	Professional		$438.37	$620.86	$1,129.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.42 / $442.06 / $1,096.55	Professional		$211.42	$442.06	$1,096.55