Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $426.83 / $14,482.00	Facility		$79.02	$426.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $156.88 / $347.91	Professional		$68.12	$156.88	$347.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $310.70 / $1,006.06	Professional		$104.69	$310.70	$1,006.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.30 / $667.62 / $1,024.15	Facility		$571.30	$667.62	$1,024.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $295.86 / $880.19	Professional		$115.72	$295.86	$880.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.47 / $186.00 / $355.51	Facility		$72.47	$186.00	$355.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $200.95 / $3,242.00	Facility		$72.23	$200.95	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $574.59 / $1,562.72	Professional		$197.54	$574.59	$1,562.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $246.08 / $480.06	Professional		$85.00	$246.08	$480.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.47 / $186.00 / $355.51	Facility		$72.47	$186.00	$355.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $333.31 / $702.94	Professional		$162.93	$333.31	$702.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $424.20 / $424.20	Facility		$123.26	$424.20	$424.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $675.62 / $1,562.72	Professional		$138.56	$675.62	$1,562.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $361.23 / $1,074.75	Professional		$264.85	$361.23	$1,074.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $432.61 / $1,050.44	Professional		$197.54	$432.61	$1,050.44