Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $297.42 / $14,482.00	Facility		$88.92	$297.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $175.69 / $297.42	Professional		$78.04	$175.69	$297.42
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 $115.51 / $315.18 / $995.80	Professional		$115.51	$315.18	$995.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.57 / $632.87 / $970.84	Facility		$541.57	$632.87	$970.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $315.70 / $837.39	Professional		$130.47	$315.70	$837.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.72 / $168.59 / $341.55	Facility		$81.72	$168.59	$341.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $189.76 / $2,783.00	Facility		$81.59	$189.76	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $610.61 / $1,494.96	Professional		$179.14	$610.61	$1,494.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $268.59 / $419.13	Professional		$85.00	$268.59	$419.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $166.37 / $341.55	Facility		$81.59	$166.37	$341.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $364.68 / $687.04	Professional		$191.18	$364.68	$687.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $488.30 / $7,929.30	Facility		$143.87	$488.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $791.83 / $1,494.96	Professional		$155.91	$791.83	$1,494.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $294.70 / $769.25	Professional		$294.70	$294.70	$769.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $406.55 / $1,022.49	Professional		$295.27	$406.55	$1,022.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,242.00 / $6,438.00	Facility		$2,883.00	$3,242.00	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $367.12 / $868.73	Professional		$179.14	$367.12	$868.73