Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $305.57 / $14,482.00	Facility		$98.50	$305.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $136.62 / $254.09	Professional		$88.21	$136.62	$254.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $286.83 / $766.28	Professional		$116.64	$286.83	$766.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.89 / $459.12 / $704.30	Facility		$392.89	$459.12	$704.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $313.14 / $616.14	Professional		$138.97	$313.14	$616.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $139.53 / $253.83	Facility		$90.60	$139.53	$253.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $149.38 / $916.00	Facility		$90.60	$149.38	$916.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $491.53 / $1,107.20	Professional		$160.86	$491.53	$1,107.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $220.90 / $326.70	Professional		$77.30	$220.90	$326.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $136.63 / $253.83	Facility		$89.92	$136.63	$253.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $319.68 / $504.21	Professional		$194.72	$319.68	$504.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $516.00 / $1,300.00	Facility		$153.58	$516.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $630.32 / $1,107.20	Professional		$169.78	$630.32	$1,107.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.22 / $442.64 / $752.33	Professional		$333.22	$442.64	$752.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $280.16 / $635.54	Professional		$149.59	$280.16	$635.54