Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $448.00 / $14,482.00	Facility		$149.97	$448.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $201.23 / $511.68	Professional		$129.25	$201.23	$511.68
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 $172.59 / $418.61 / $1,143.68	Professional		$172.59	$418.61	$1,143.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.53 / $686.58 / $1,053.22	Facility		$587.53	$686.58	$1,053.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $444.70 / $908.79	Professional		$185.97	$444.70	$908.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $221.06 / $409.00	Facility		$132.19	$221.06	$409.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $227.23 / $2,781.00	Facility		$132.26	$227.23	$2,781.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.91 / $728.26 / $1,619.04	Professional		$218.91	$728.26	$1,619.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $324.69 / $501.39	Professional		$117.82	$324.69	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $221.06 / $409.00	Facility		$132.19	$221.06	$409.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $484.74 / $738.14	Professional		$299.01	$484.74	$738.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $956.88 / $2,000.00	Facility		$226.85	$956.88	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.30 / $929.70 / $1,619.04	Professional		$214.30	$929.70	$1,619.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $497.89 / $685.34 / $1,109.64	Professional		$497.89	$685.34	$1,109.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,912.00 / $6,072.00	Facility		$2,976.00	$3,912.00	$6,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.53 / $425.31 / $949.79	Professional		$210.53	$425.31	$949.79