Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $293.93 / $14,482.00	Facility		$88.74	$293.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $176.83 / $261.02	Professional		$78.84	$176.83	$261.02
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 $117.56 / $309.45 / $945.26	Professional		$117.56	$309.45	$945.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.13 / $594.96 / $912.69	Facility		$509.13	$594.96	$912.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $322.39 / $789.09	Professional		$130.41	$322.39	$789.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $176.45 / $322.04	Facility		$81.27	$176.45	$322.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $188.28 / $3,242.00	Facility		$81.27	$188.28	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $566.17 / $1,408.08	Professional		$199.21	$566.17	$1,408.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $294.46 / $501.39	Professional		$85.00	$294.46	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $176.45 / $322.04	Facility		$81.27	$176.45	$322.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $365.01 / $655.24	Professional		$183.29	$365.01	$655.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $568.79 / $568.79	Facility		$139.51	$568.79	$568.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $636.83 / $1,408.08	Professional		$154.30	$636.83	$1,408.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $583.02 / $963.47	Professional		$293.68	$583.02	$963.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.45 / $364.68 / $840.23	Professional		$187.45	$364.68	$840.23