Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $204.50 / $14,482.00	Facility		$94.24	$204.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $112.87 / $241.49	Professional		$80.98	$112.87	$241.49
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 $98.45 / $238.08 / $616.58	Professional		$98.45	$238.08	$616.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.06 / $340.13 / $521.77	Facility		$291.06	$340.13	$521.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $218.34 / $454.61	Professional		$107.75	$218.34	$454.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $110.24 / $192.72	Facility		$69.34	$110.24	$192.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $116.38 / $1,124.00	Facility		$73.39	$116.38	$1,124.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $412.02 / $819.52	Professional		$122.36	$412.02	$819.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $163.16 / $259.20	Professional		$59.63	$163.16	$259.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.51 / $109.07 / $192.72	Facility		$67.51	$109.07	$192.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $239.88 / $387.53	Professional		$161.46	$239.88	$387.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $603.24 / $1,300.00	Facility		$133.36	$603.24	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $465.08 / $819.52	Professional		$125.48	$465.08	$819.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $312.19 / $423.31 / $555.05	Professional		$312.19	$423.31	$555.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $245.28 / $522.77	Professional		$120.14	$245.28	$522.77