Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.18 / $518.85 / $14,482.00	Facility		$94.18	$518.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $133.26 / $332.78	Professional		$81.59	$133.26	$332.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $353.33 / $1,013.40	Professional		$112.38	$353.33	$1,013.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.95 / $799.25 / $1,226.07	Facility		$683.95	$799.25	$1,226.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $312.73 / $1,053.68	Professional		$137.03	$312.73	$1,053.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $140.94 / $404.84	Facility		$77.34	$140.94	$404.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $168.35 / $2,783.00	Facility		$80.40	$168.35	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $493.62 / $1,871.28	Professional		$143.52	$493.62	$1,871.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $310.69 / $512.48	Professional		$85.00	$310.69	$512.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $134.68 / $404.84	Facility		$75.36	$134.68	$404.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $400.60 / $815.68	Professional		$195.66	$400.60	$815.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $604.02 / $3,590.15	Facility		$148.10	$604.02	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $960.00 / $1,871.28	Professional		$164.03	$960.00	$1,871.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $317.77 / $427.68 / $1,286.54	Professional		$317.77	$427.68	$1,286.54
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 $129.62 / $278.64 / $628.72	Professional		$129.62	$278.64	$628.72