Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.31 / $353.40 / $7,747.31	Facility		$105.31	$353.40	$7,747.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $114.97 / $429.25	Professional		$89.80	$114.97	$429.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $294.63 / $701.53	Professional		$110.86	$294.63	$701.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $292.74 / $472.18	Facility		$250.51	$292.74	$472.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.55 / $349.04 / $428.40	Professional		$181.55	$349.04	$428.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $112.81 / $161.13	Facility		$96.94	$112.81	$161.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.31 / $1,239.00 / $3,216.02	Facility		$105.31	$1,239.00	$3,216.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $362.88 / $690.42	Professional		$129.01	$362.88	$690.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $99.04 / $232.75	Professional		$59.78	$99.04	$232.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $112.81 / $161.13	Facility		$96.94	$112.81	$161.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $246.48 / $352.20	Professional		$125.50	$246.48	$352.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,493.00 / $4,493.00 / $4,493.00	Facility		$4,493.00	$4,493.00	$4,493.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.75 / $405.77 / $720.56	Professional		$185.75	$405.77	$720.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $348.26 / $484.30 / $484.30	Professional		$348.26	$484.30	$484.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $339.19 / $577.91	Professional		$113.34	$339.19	$577.91