Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $1,894.00 / $17,823.00	Facility		$133.41	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $132.02 / $165.94	Professional		$112.80	$132.02	$165.94
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 $114.04 / $273.69 / $702.75	Professional		$114.04	$273.69	$702.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.89 / $373.83 / $573.46	Facility		$319.89	$373.83	$573.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $389.60 / $528.08	Professional		$139.00	$389.60	$528.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.41 / $154.08 / $241.45	Facility		$113.41	$154.08	$241.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.08 / $175.11 / $4,377.80	Facility		$114.08	$175.11	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $260.77 / $898.24	Professional		$126.67	$260.77	$898.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $434.37	Professional		$50.00	$70.00	$434.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $150.31 / $241.45	Facility		$112.80	$150.31	$241.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.40 / $292.25 / $436.27	Professional		$221.40	$292.25	$436.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $3,728.65 / $3,728.65	Facility		$138.16	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $576.95 / $898.24	Professional		$167.29	$576.95	$898.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $85.27 / $462.03	Professional		$80.53	$85.27	$462.03
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 $120.62 / $245.66 / $520.70	Professional		$120.62	$245.66	$520.70