Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.58 / $355.75 / $14,482.00	Facility		$151.58	$355.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $167.00 / $374.13	Professional		$126.44	$167.00	$374.13
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 $154.59 / $368.58 / $969.53	Professional		$154.59	$368.58	$969.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.47 / $538.10 / $825.46	Facility		$460.47	$538.10	$825.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $360.64 / $716.20	Professional		$170.07	$360.64	$716.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $176.72 / $336.37	Facility		$128.86	$176.72	$336.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $187.73 / $1,100.00	Facility		$129.88	$187.73	$1,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.62 / $572.01 / $1,278.16	Professional		$179.62	$572.01	$1,278.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $239.67 / $374.38	Professional		$85.00	$239.67	$374.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $177.35 / $336.37	Facility		$128.86	$177.35	$336.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.56 / $407.09 / $606.59	Professional		$277.56	$407.09	$606.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $957.48 / $2,598.00	Facility		$226.65	$957.48	$2,598.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.31 / $732.69 / $1,278.16	Professional		$203.31	$732.69	$1,278.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $494.90 / $494.90 / $640.12	Professional		$494.90	$494.90	$640.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $440.77 / $689.71 / $874.47	Professional		$440.77	$689.71	$874.47
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 $171.23 / $342.86 / $771.28	Professional		$171.23	$342.86	$771.28