Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $316.23 / $14,482.00	Facility		$94.52	$316.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $190.93 / $316.23	Professional		$85.81	$190.93	$316.23
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 $125.21 / $332.82 / $1,033.25	Professional		$125.21	$332.82	$1,033.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.79 / $651.83 / $999.92	Facility		$557.79	$651.83	$999.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $321.80 / $862.81	Professional		$140.59	$321.80	$862.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $193.62 / $338.63	Facility		$93.58	$193.62	$338.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $201.62 / $3,014.84	Facility		$94.10	$201.62	$3,014.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $631.20 / $1,541.36	Professional		$203.28	$631.20	$1,541.36
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 $93.79 / $191.45 / $338.63	Facility		$93.79	$191.45	$338.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $388.86 / $709.75	Professional		$202.19	$388.86	$709.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $517.25 / $3,590.15	Facility		$153.00	$517.25	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $817.35 / $1,541.36	Professional		$166.05	$817.35	$1,541.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $312.14 / $792.95	Professional		$312.14	$312.14	$792.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.78 / $430.74 / $1,053.51	Professional		$340.78	$430.74	$1,053.51
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 $190.05 / $396.08 / $883.15	Professional		$190.05	$396.08	$883.15