Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.13 / $443.68 / $14,482.00	Facility		$137.13	$443.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $201.53 / $399.49	Professional		$114.44	$201.53	$399.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,726.00 / $4,314.00 / $6,049.00	Facility		$2,726.00	$4,314.00	$6,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $394.78 / $1,066.13	Professional		$161.10	$394.78	$1,066.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.42 / $687.63 / $1,054.83	Facility		$588.42	$687.63	$1,054.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $411.35 / $905.75	Professional		$169.28	$411.35	$905.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $197.64 / $379.20	Facility		$107.00	$197.64	$379.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.73 / $207.29 / $2,783.00	Facility		$113.73	$207.29	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $663.66 / $1,608.00	Professional		$205.24	$663.66	$1,608.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $296.45 / $439.74	Professional		$103.10	$296.45	$439.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.18 / $197.19 / $379.20	Facility		$105.18	$197.19	$379.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $462.96 / $730.19	Professional		$272.02	$462.96	$730.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $877.20 / $7,909.30	Facility		$204.52	$877.20	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.83 / $922.96 / $1,608.00	Professional		$192.83	$922.96	$1,608.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $401.63 / $628.55 / $1,105.92	Professional		$401.63	$628.55	$1,105.92
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 $196.05 / $402.47 / $918.83	Professional		$196.05	$402.47	$918.83