Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.88 / $369.64 / $14,482.00	Facility		$109.88	$369.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $201.86 / $362.14	Professional		$99.08	$201.86	$362.14
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 $145.57 / $361.20 / $1,102.91	Professional		$145.57	$361.20	$1,102.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.73 / $684.47 / $1,049.99	Facility		$585.73	$684.47	$1,049.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $362.63 / $908.13	Professional		$160.44	$362.63	$908.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $208.23 / $372.44	Facility		$106.08	$208.23	$372.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.08 / $216.00 / $5,080.00	Facility		$109.08	$216.00	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $669.28 / $1,626.16	Professional		$210.95	$669.28	$1,626.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $315.29 / $501.39	Professional		$85.00	$315.29	$501.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.53 / $208.23 / $372.44	Facility		$106.53	$208.23	$372.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.59 / $429.65 / $750.63	Professional		$234.59	$429.65	$750.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $603.95 / $7,929.30	Facility		$179.75	$603.95	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $902.00 / $1,626.16	Professional		$192.98	$902.00	$1,626.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $366.30 / $838.31	Professional		$366.30	$366.30	$838.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $391.15 / $563.45 / $1,108.82	Professional		$391.15	$563.45	$1,108.82
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 $207.81 / $400.25 / $875.43	Professional		$207.81	$400.25	$875.43