Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $446.63 / $14,482.00	Facility		$134.85	$446.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $134.85 / $370.35	Professional		$118.55	$134.85	$370.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $9,649.00 / $12,444.00	Facility		$6,159.00	$9,649.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $276.62 / $715.85	Professional		$121.62	$276.62	$715.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $363.30 / $557.29	Facility		$310.89	$363.30	$557.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $429.68 / $499.96	Professional		$171.63	$429.68	$499.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $155.40 / $264.11	Facility		$122.52	$155.40	$264.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $174.06 / $1,642.00	Facility		$122.52	$174.06	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $267.11 / $926.16	Professional		$140.59	$267.11	$926.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $198.60 / $343.37	Professional		$70.00	$198.60	$343.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $122.52 / $155.80 / $264.11	Facility		$122.52	$155.80	$264.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.40 / $311.27 / $505.79	Professional		$233.40	$311.27	$505.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $588.88 / $588.88	Facility		$147.79	$588.88	$588.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $609.85 / $926.16	Professional		$206.28	$609.85	$926.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $451.38 / $451.38 / $451.38	Professional		$451.38	$451.38	$451.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $405.44 / $610.48 / $610.48	Professional		$405.44	$610.48	$610.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $255.62 / $550.39	Professional		$137.36	$255.62	$550.39