Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $413.43 / $14,482.00	Facility		$123.75	$413.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $187.58 / $585.54	Professional		$105.46	$187.58	$585.54
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 $149.22 / $377.87 / $1,057.28	Professional		$149.22	$377.87	$1,057.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.21 / $668.67 / $1,025.76	Facility		$572.21	$668.67	$1,025.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $408.65 / $886.18	Professional		$171.28	$408.65	$886.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $185.58 / $358.19	Facility		$106.04	$185.58	$358.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $199.23 / $2,783.00	Facility		$108.95	$199.23	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.49 / $651.96 / $1,581.52	Professional		$191.49	$651.96	$1,581.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $294.40 / $440.27	Professional		$103.10	$294.40	$440.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $179.32 / $358.19	Facility		$104.94	$179.32	$358.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $457.92 / $722.24	Professional		$251.54	$457.92	$722.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $800.04 / $1,300.00	Facility		$192.17	$800.04	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $842.48 / $1,581.52	Professional		$217.48	$842.48	$1,581.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $388.99 / $567.02 / $1,082.01	Professional		$388.99	$567.02	$1,082.01
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 $189.99 / $413.71 / $899.65	Professional		$189.99	$413.71	$899.65