Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $561.83 / $14,482.00	Facility		$81.33	$561.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $212.12 / $393.72	Professional		$69.89	$212.12	$393.72
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 $107.74 / $354.57 / $1,380.49	Professional		$107.74	$354.57	$1,380.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.74 / $886.65 / $1,360.15	Facility		$758.74	$886.65	$1,360.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $305.01 / $1,165.35	Professional		$114.16	$305.01	$1,165.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $149.88 / $471.57	Facility		$64.31	$149.88	$471.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $212.10 / $2,783.00	Facility		$69.39	$212.10	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.24 / $809.65 / $2,062.96	Professional		$224.24	$809.65	$2,062.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $299.78 / $651.87	Professional		$85.00	$299.78	$651.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.61 / $149.86 / $471.57	Facility		$61.61	$149.86	$471.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $338.53 / $925.51	Professional		$170.27	$338.53	$925.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $455.25 / $2,922.50	Facility		$128.25	$455.25	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $1,053.95 / $2,062.96	Professional		$142.83	$1,053.95	$2,062.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $268.25 / $372.37 / $1,422.93	Professional		$268.25	$372.37	$1,422.93
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 $235.98 / $492.71 / $1,194.11	Professional		$235.98	$492.71	$1,194.11