Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $306.08 / $14,482.00	Facility		$101.58	$306.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $163.01 / $475.32	Professional		$93.04	$163.01	$475.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $284.39 / $805.99	Professional		$124.37	$284.39	$805.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.30 / $465.44 / $714.00	Facility		$398.30	$465.44	$714.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $336.38 / $620.49	Professional		$148.37	$336.38	$620.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $152.49 / $271.38	Facility		$94.60	$152.49	$271.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.27 / $160.87 / $1,209.00	Facility		$94.27	$160.87	$1,209.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $443.57 / $1,112.48	Professional		$149.69	$443.57	$1,112.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $273.27 / $392.08	Professional		$85.00	$273.27	$392.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $152.52 / $271.38	Facility		$94.60	$152.52	$271.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.93 / $332.23 / $506.48	Professional		$204.93	$332.23	$506.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $546.00 / $546.00	Facility		$158.83	$546.00	$546.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.02 / $492.31 / $1,112.48	Professional		$179.02	$492.31	$1,112.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $466.72 / $485.23 / $757.63	Professional		$466.72	$485.23	$757.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $320.70 / $629.99	Professional		$144.27	$320.70	$629.99