Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.01 / $234.63 / $14,482.00	Facility		$70.01	$234.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $133.29 / $268.82	Professional		$61.70	$133.29	$268.82
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 $92.75 / $251.93 / $797.76	Professional		$92.75	$251.93	$797.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.16 / $530.73 / $814.15	Facility		$454.16	$530.73	$814.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $252.25 / $699.28	Professional		$105.02	$252.25	$699.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $155.21 / $280.45	Facility		$66.23	$155.21	$280.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $164.52 / $2,922.50	Facility		$66.64	$164.52	$2,922.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $475.53 / $1,242.08	Professional		$148.11	$475.53	$1,242.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $216.89 / $372.46	Professional		$85.00	$216.89	$372.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $154.88 / $281.49	Facility		$66.29	$154.88	$281.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $289.18 / $562.12	Professional		$145.63	$289.18	$562.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $375.60 / $2,922.50	Facility		$109.44	$375.60	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $715.37 / $1,242.08	Professional		$122.73	$715.37	$1,242.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $393.49 / $853.83	Professional		$238.05	$393.49	$853.83
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 $143.69 / $299.27 / $646.11	Professional		$143.69	$299.27	$646.11