Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.26 / $224.40 / $14,482.00	Facility		$68.26	$224.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $153.81 / $334.61	Professional		$57.67	$153.81	$334.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $256.24 / $793.23	Professional		$90.42	$256.24	$793.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $483.34 / $642.40	Facility		$413.61	$483.34	$642.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $241.96 / $640.99	Professional		$83.38	$241.96	$640.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $154.90 / $313.26	Facility		$62.73	$154.90	$313.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $176.36 / $1,449.00	Facility		$66.84	$176.36	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.18 / $640.13 / $2,965.50	Professional		$175.18	$640.13	$2,965.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $131.81 / $315.53	Professional		$77.22	$131.81	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $154.90 / $313.26	Facility		$62.73	$154.90	$313.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $288.12 / $512.16	Professional		$139.57	$288.12	$512.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $157.81 / $701.16 / $1,300.00	Facility		$157.81	$701.16	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $701.16 / $2,965.50	Professional		$113.68	$701.16	$2,965.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $226.42 / $226.42 / $598.29	Professional		$226.42	$226.42	$598.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.23 / $347.45 / $782.64	Professional		$227.23	$347.45	$782.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $430.96 / $798.49	Professional		$158.43	$430.96	$798.49