Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $572.07 / $14,482.00	Facility		$172.44	$572.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $172.44 / $463.48	Professional		$146.71	$172.44	$463.48
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 $156.75 / $353.73 / $913.01	Professional		$156.75	$353.73	$913.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.60 / $472.81 / $725.30	Facility		$404.60	$472.81	$725.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.27 / $545.42 / $643.01	Professional		$209.27	$545.42	$643.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $217.57 / $618.75	Facility		$154.50	$217.57	$618.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $241.42 / $4,377.80	Facility		$153.13	$241.42	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $366.42 / $2,157.98	Professional		$168.78	$366.42	$2,157.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $278.41 / $402.72	Professional		$85.00	$278.41	$402.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.37 / $216.08 / $660.00	Facility		$154.37	$216.08	$660.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $376.09 / $650.50	Professional		$282.00	$376.09	$650.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $4,901.45 / $4,901.45	Facility		$178.03	$4,901.45	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $774.15 / $2,157.98	Professional		$260.85	$774.15	$2,157.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.55 / $785.09 / $785.09	Professional		$575.55	$785.09	$785.09
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 $166.73 / $321.61 / $706.80	Professional		$166.73	$321.61	$706.80