Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $489.26 / $14,482.00	Facility		$147.34	$489.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $147.34 / $381.98	Professional		$124.56	$147.34	$381.98
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 $133.59 / $302.24 / $776.81	Professional		$133.59	$302.24	$776.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.13 / $403.31 / $618.69	Facility		$345.13	$403.31	$618.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.61 / $464.93 / $549.01	Professional		$200.61	$464.93	$549.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.58 / $187.03 / $598.50	Facility		$131.58	$187.03	$598.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.07 / $225.43 / $4,792.00	Facility		$131.07	$225.43	$4,792.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $378.78 / $1,865.75	Professional		$157.13	$378.78	$1,865.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $170.03 / $246.81	Professional		$59.78	$170.03	$246.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.58 / $187.03 / $598.50	Facility		$131.58	$187.03	$598.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $321.68 / $555.40	Professional		$241.20	$321.68	$555.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $4,901.45 / $4,901.45	Facility		$151.61	$4,901.45	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $954.33 / $1,865.75	Professional		$236.74	$954.33	$1,865.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.83 / $489.83 / $489.83	Professional		$489.83	$489.83	$489.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $491.48 / $670.38 / $810.03	Professional		$491.48	$670.38	$810.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $332.78 / $602.49	Professional		$145.18	$332.78	$602.49