Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $263.26 / $14,482.00	Facility		$78.84	$263.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $163.54 / $289.08	Professional		$70.31	$163.54	$289.08
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 $103.76 / $279.56 / $886.44	Professional		$103.76	$279.56	$886.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.60 / $568.64 / $872.30	Facility		$486.60	$568.64	$872.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $290.58 / $682.68	Professional		$117.44	$290.58	$682.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $145.19 / $305.06	Facility		$68.63	$145.19	$305.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $166.02 / $2,783.00	Facility		$68.94	$166.02	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $545.79 / $1,336.32	Professional		$167.09	$545.79	$1,336.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $244.82 / $419.13	Professional		$85.00	$244.82	$419.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $144.41 / $305.06	Facility		$67.31	$144.41	$305.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $326.02 / $605.27	Professional		$164.30	$326.02	$605.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $423.40 / $3,590.15	Facility		$123.68	$423.40	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $689.48 / $1,336.32	Professional		$137.87	$689.48	$1,336.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $359.43 / $917.23	Professional		$258.58	$359.43	$917.23
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 $166.83 / $319.26 / $708.45	Professional		$166.83	$319.26	$708.45