Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $325.77 / $14,482.00	Facility		$129.63	$325.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $157.02 / $447.30	Professional		$109.85	$157.02	$447.30
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 $142.12 / $323.58 / $862.28	Professional		$142.12	$323.58	$862.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.23 / $498.08 / $764.07	Facility		$426.23	$498.08	$764.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $330.29 / $662.41	Professional		$158.83	$330.29	$662.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $154.74 / $298.00	Facility		$102.03	$154.74	$298.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.82 / $166.76 / $2,247.00	Facility		$107.82	$166.76	$2,247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $530.92 / $1,184.00	Professional		$164.06	$530.92	$1,184.00
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 $99.20 / $153.69 / $298.00	Facility		$99.20	$153.69	$298.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.60 / $374.68 / $539.41	Professional		$250.60	$374.68	$539.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $831.90 / $1,646.16	Facility		$197.86	$831.90	$1,646.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $677.66 / $1,184.00	Professional		$180.77	$677.66	$1,184.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.44 / $594.98 / $808.84	Professional		$397.44	$594.98	$808.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $2,683.00 / $4,725.00	Facility		$2,257.00	$2,683.00	$4,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $302.62 / $686.49	Professional		$151.29	$302.62	$686.49