Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.45 / $301.33 / $14,482.00	Facility		$122.45	$301.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $144.79 / $383.85	Professional		$104.66	$144.79	$383.85
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 $133.69 / $308.05 / $803.12	Professional		$133.69	$308.05	$803.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $702.69	Facility		$391.99	$458.07	$702.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $306.56 / $610.01	Professional		$148.71	$306.56	$610.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.08 / $153.41 / $287.95	Facility		$107.08	$153.41	$287.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.51 / $161.54 / $2,783.00	Facility		$107.51	$161.54	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $499.56 / $1,090.08	Professional		$153.63	$499.56	$1,090.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $189.79 / $298.35	Professional		$70.00	$189.79	$298.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.08 / $151.76 / $287.95	Facility		$104.08	$151.76	$287.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.80 / $344.71 / $496.26	Professional		$233.80	$344.71	$496.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $185.16 / $781.32 / $3,930.50	Facility		$185.16	$781.32	$3,930.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $624.05 / $1,090.08	Professional		$170.91	$624.05	$1,090.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $560.03 / $744.85	Professional		$390.75	$560.03	$744.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $285.27 / $647.14	Professional		$145.44	$285.27	$647.14