Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $382.31 / $14,482.00	Facility		$116.08	$382.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $116.08 / $305.70	Professional		$97.38	$116.08	$305.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $238.11 / $616.13	Professional		$105.26	$238.11	$616.13
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 $139.16 / $370.72 / $432.05	Professional		$139.16	$370.72	$432.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.26 / $144.28 / $226.09	Facility		$104.26	$144.28	$226.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.24 / $162.51 / $4,292.39	Facility		$102.24	$162.51	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $249.06 / $1,175.00	Professional		$115.20	$249.06	$1,175.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $168.07 / $239.36	Professional		$59.78	$168.07	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $136.84 / $238.35	Facility		$103.50	$136.84	$238.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $251.26 / $437.08	Professional		$188.40	$251.26	$437.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $2,855.25 / $2,855.25	Facility		$120.58	$2,855.25	$2,855.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $526.20 / $1,175.00	Professional		$174.79	$526.20	$1,175.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $388.50 / $388.50 / $388.50	Professional		$388.50	$388.50	$388.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $527.54 / $527.54	Professional		$349.80	$527.54	$527.54
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 $112.24 / $209.72 / $474.90	Professional		$112.24	$209.72	$474.90