Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.17 / $372.21 / $14,482.00	Facility		$111.17	$372.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $206.46 / $371.60	Professional		$99.75	$206.46	$371.60
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 $139.54 / $366.21 / $1,111.73	Professional		$139.54	$366.21	$1,111.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.24 / $700.27 / $1,074.22	Facility		$599.24	$700.27	$1,074.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.43 / $365.64 / $894.34	Professional		$165.43	$365.64	$894.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.66 / $209.32 / $362.35	Facility		$105.66	$209.32	$362.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.75 / $218.93 / $3,014.84	Facility		$106.75	$218.93	$3,014.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.01 / $686.55 / $1,662.24	Professional		$214.01	$686.55	$1,662.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $357.02 / $588.73	Professional		$85.00	$357.02	$588.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $205.96 / $352.86	Facility		$104.97	$205.96	$352.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.85 / $439.40 / $767.67	Professional		$236.85	$439.40	$767.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $609.40 / $3,590.15	Facility		$180.95	$609.40	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $902.00 / $1,662.24	Professional		$194.58	$902.00	$1,662.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $370.18 / $853.52	Professional		$370.18	$370.18	$853.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $507.34 / $1,133.55	Professional		$375.80	$507.34	$1,133.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.71 / $430.82 / $950.20	Professional		$202.71	$430.82	$950.20