Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.91 / $329.42 / $14,482.00	Facility		$120.91	$329.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $149.27 / $311.63	Professional		$104.40	$149.27	$311.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $309.70 / $871.78	Professional		$136.15	$309.70	$871.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.44 / $506.51 / $777.00	Facility		$433.44	$506.51	$777.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $333.69 / $671.65	Professional		$150.35	$333.69	$671.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $158.97 / $300.13	Facility		$101.90	$158.97	$300.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $165.30 / $871.78	Facility		$104.40	$165.30	$871.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $526.13 / $1,197.76	Professional		$163.30	$526.13	$1,197.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $215.88 / $349.74	Professional		$75.52	$215.88	$349.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.56 / $157.59 / $300.13	Facility		$101.56	$157.59	$300.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $365.62 / $543.95	Professional		$239.87	$365.62	$543.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.04 / $775.74 / $2,000.00	Facility		$183.04	$775.74	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $687.11 / $1,197.76	Professional		$168.73	$687.11	$1,197.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $391.73 / $598.29	Professional		$391.73	$391.73	$598.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.44 / $554.90 / $820.09	Professional		$436.44	$554.90	$820.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $313.58 / $686.17	Professional		$161.80	$313.58	$686.17