Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $204.82 / $14,482.00	Facility		$110.91	$204.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $110.91 / $304.10	Professional		$96.91	$110.91	$304.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $2,856.00 / $4,638.00	Facility		$808.00	$2,856.00	$4,638.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $227.51 / $587.21	Professional		$99.67	$227.51	$587.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.92 / $299.06 / $458.77	Facility		$255.92	$299.06	$458.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $353.23 / $410.19	Professional		$132.99	$353.23	$410.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.33 / $136.03 / $252.00	Facility		$101.33	$136.03	$252.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $155.27 / $4,602.00	Facility		$100.17	$155.27	$4,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $257.04 / $1,061.66	Professional		$113.32	$257.04	$1,061.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $198.60 / $334.99	Professional		$70.00	$198.60	$334.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $136.03 / $252.00	Facility		$100.17	$136.03	$252.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $254.46 / $414.96	Professional		$190.80	$254.46	$414.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $1,300.00 / $1,300.00	Facility		$120.98	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $501.35 / $1,061.66	Professional		$180.47	$501.35	$1,061.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $370.26 / $370.26	Professional		$370.26	$370.26	$370.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $335.20 / $500.79 / $500.79	Professional		$335.20	$500.79	$500.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $210.38 / $452.47	Professional		$110.30	$210.38	$452.47