Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $278.26 / $14,482.00	Facility		$33.61	$278.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $126.38 / $240.91	Professional		$28.39	$126.38	$240.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,425.00 / $4,433.00	Facility		$1,139.00	$2,425.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $175.50 / $755.87	Professional		$44.53	$175.50	$755.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.36 / $432.80 / $575.22	Facility		$370.36	$432.80	$575.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $124.56 / $568.71	Professional		$40.79	$124.56	$568.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $87.05 / $265.89	Facility		$31.22	$87.05	$265.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $154.52 / $1,455.00	Facility		$32.88	$154.52	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $505.60 / $1,005.20	Professional		$181.62	$505.60	$1,005.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $125.21 / $298.35	Professional		$76.43	$125.21	$298.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $87.05 / $281.54	Facility		$31.22	$87.05	$281.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $143.88 / $454.24	Professional		$67.93	$143.88	$454.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $244.18 / $244.18	Facility		$77.27	$244.18	$244.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $505.60 / $1,005.20	Professional		$69.19	$505.60	$1,005.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $465.20 / $694.40	Professional		$112.55	$465.20	$694.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $426.63 / $770.11	Professional		$171.92	$426.63	$770.11