Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $364.07 / $14,482.00	Facility		$108.31	$364.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $108.31 / $290.14	Professional		$94.84	$108.31	$290.14
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 $96.89 / $222.18 / $572.39	Professional		$96.89	$222.18	$572.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.92 / $299.06 / $458.77	Facility		$255.92	$299.06	$458.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $342.72 / $406.26	Professional		$125.85	$342.72	$406.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $125.96 / $294.06	Facility		$94.98	$125.96	$294.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $147.26 / $7,318.00	Facility		$95.72	$147.26	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $223.34 / $746.56	Professional		$104.97	$223.34	$746.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $168.07 / $239.36	Professional		$59.78	$168.07	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $124.57 / $294.06	Facility		$94.10	$124.57	$294.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $251.26 / $411.00	Professional		$188.40	$251.26	$411.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $7,929.30 / $7,929.30	Facility		$117.31	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.33 / $484.25 / $746.56	Professional		$175.33	$484.25	$746.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $360.66 / $360.66 / $360.66	Professional		$360.66	$360.66	$360.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $496.10 / $496.10	Professional		$330.02	$496.10	$496.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $195.82 / $501.75	Professional		$99.33	$195.82	$501.75