Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $457.74 / $14,482.00	Facility		$168.65	$457.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $203.82 / $385.80	Professional		$143.25	$203.82	$385.80
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 $189.90 / $431.05 / $1,193.90	Professional		$189.90	$431.05	$1,193.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.92 / $682.36 / $1,046.76	Facility		$583.92	$682.36	$1,046.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.49 / $481.94 / $902.66	Professional		$217.49	$481.94	$902.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $227.30 / $394.00	Facility		$152.91	$227.30	$394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $242.47 / $2,683.00	Facility		$154.22	$242.47	$2,683.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $657.25 / $1,607.52	Professional		$220.87	$657.25	$1,607.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $305.31 / $512.77	Professional		$103.10	$305.31	$512.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.49 / $227.30 / $405.95	Facility		$151.49	$227.30	$405.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.88 / $507.59 / $755.17	Professional		$339.88	$507.59	$755.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $256.04 / $1,074.48 / $1,074.48	Facility		$256.04	$1,074.48	$1,074.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $734.87 / $1,607.52	Professional		$269.04	$734.87	$1,607.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $521.24 / $770.24 / $1,102.16	Professional		$521.24	$770.24	$1,102.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $434.06 / $936.75	Professional		$208.10	$434.06	$936.75