Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.17 / $158.27 / $14,482.00	Facility		$85.17	$158.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $85.17 / $234.17	Professional		$74.95	$85.17	$234.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $174.71 / $451.73	Professional		$77.31	$174.71	$451.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $229.56 / $352.15	Facility		$196.44	$229.56	$352.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $271.00 / $315.61	Professional		$108.69	$271.00	$315.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $98.16 / $167.17	Facility		$77.37	$98.16	$167.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $109.47 / $4,821.00	Facility		$77.37	$109.47	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $168.48 / $584.88	Professional		$88.68	$168.48	$584.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $168.07 / $232.75	Professional		$59.78	$168.07	$232.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $98.46 / $167.17	Facility		$77.37	$98.46	$167.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $196.85 / $319.29	Professional		$147.60	$196.85	$319.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $372.39 / $372.39	Facility		$93.41	$372.39	$372.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $384.65 / $584.88	Professional		$131.94	$384.65	$584.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $284.83 / $284.83	Professional		$284.83	$284.83	$284.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.69 / $385.37 / $385.37	Professional		$256.69	$385.37	$385.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $162.44 / $347.15	Professional		$85.05	$162.44	$347.15