Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.86 / $374.82 / $14,482.00	Facility		$99.86	$374.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $271.07 / $416.68	Professional		$89.47	$271.07	$416.68
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 $132.29 / $422.07 / $1,608.65	Professional		$132.29	$422.07	$1,608.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.60 / $1,037.23 / $1,591.14	Facility		$887.60	$1,037.23	$1,591.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $374.46 / $1,305.44	Professional		$147.54	$374.46	$1,305.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $204.53 / $528.35	Facility		$94.17	$204.53	$528.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $265.58 / $5,080.00	Facility		$94.47	$265.58	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $972.86 / $2,421.44	Professional		$299.20	$972.86	$2,421.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $372.11 / $768.11	Professional		$85.00	$372.11	$768.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $198.88 / $524.75	Facility		$93.15	$198.88	$524.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.83 / $412.00 / $1,098.13	Professional		$215.83	$412.00	$1,098.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $606.13 / $7,929.30	Facility		$162.66	$606.13	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.37 / $1,261.48 / $2,421.44	Professional		$175.37	$1,261.48	$2,421.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $332.43 / $332.43 / $1,286.50	Professional		$332.43	$332.43	$1,286.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $335.54 / $457.22 / $1,665.14	Professional		$335.54	$457.22	$1,665.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $8,788.00	Facility		$4,614.00	$7,611.00	$8,788.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $574.90 / $1,365.85	Professional		$293.52	$574.90	$1,365.85