Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.70 / $217.04 / $14,482.00	Facility		$117.70	$217.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $117.70 / $325.35	Professional		$102.78	$117.70	$325.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $241.43 / $624.66	Professional		$108.44	$241.43	$624.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $315.91 / $484.61	Facility		$270.33	$315.91	$484.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $380.27 / $435.26	Professional		$154.55	$380.27	$435.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $137.71 / $234.00	Facility		$107.86	$137.71	$234.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.73 / $164.78 / $4,821.00	Facility		$106.73	$164.78	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $248.93 / $808.00	Professional		$130.01	$248.93	$808.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $198.60 / $343.37	Professional		$70.00	$198.60	$343.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $107.86 / $137.71 / $234.00	Facility		$107.86	$137.71	$234.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.20 / $269.67 / $440.33	Professional		$202.20	$269.67	$440.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $510.17 / $510.17	Facility		$129.34	$510.17	$510.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.63 / $539.75 / $808.00	Professional		$191.63	$539.75	$808.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Professional		$393.88	$393.88	$393.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $360.35 / $531.41 / $531.41	Professional		$360.35	$531.41	$531.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $240.62 / $487.12	Professional		$121.62	$240.62	$487.12