Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $353.80 / $14,482.00	Facility		$105.33	$353.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $193.38 / $350.39	Professional		$93.54	$193.38	$350.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $346.23 / $1,032.96	Professional		$132.50	$346.23	$1,032.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.29 / $657.09 / $1,007.99	Facility		$562.29	$657.09	$1,007.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $347.77 / $871.61	Professional		$154.40	$347.77	$871.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $196.18 / $357.03	Facility		$96.79	$196.18	$357.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $205.28 / $4,614.00	Facility		$95.95	$205.28	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $626.84 / $1,560.56	Professional		$195.88	$626.84	$1,560.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $305.55 / $501.39	Professional		$85.00	$305.55	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $196.18 / $357.03	Facility		$94.65	$196.18	$357.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $411.45 / $718.83	Professional		$224.78	$411.45	$718.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $579.00 / $7,929.30	Facility		$171.25	$579.00	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $831.59 / $1,560.56	Professional		$185.07	$831.59	$1,560.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $351.09 / $351.09 / $801.86	Professional		$351.09	$351.09	$801.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $378.44 / $532.24 / $1,064.26	Professional		$378.44	$532.24	$1,064.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $393.35 / $894.09	Professional		$190.07	$393.35	$894.09