Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $616.11 / $14,482.00	Facility		$66.56	$616.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $173.62 / $474.57	Professional		$62.72	$173.62	$474.57
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 $113.81 / $313.37 / $1,280.41	Professional		$113.81	$313.37	$1,280.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.48 / $1,017.23 / $1,351.98	Facility		$870.48	$1,017.23	$1,351.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $232.49 / $1,149.96	Professional		$87.69	$232.49	$1,149.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $164.53 / $474.57	Facility		$66.56	$164.53	$474.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $333.85 / $3,026.00	Facility		$70.20	$333.85	$3,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.51 / $742.48 / $2,348.80	Professional		$262.51	$742.48	$2,348.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $279.99 / $668.92	Professional		$167.71	$279.99	$668.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $164.53 / $474.57	Facility		$66.56	$164.53	$474.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $333.80 / $1,020.80	Professional		$151.13	$333.80	$1,020.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $458.04 / $458.04	Facility		$169.74	$458.04	$458.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $1,182.09 / $2,348.80	Professional		$118.53	$1,182.09	$2,348.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.49 / $731.06 / $1,913.51	Professional		$356.49	$731.06	$1,913.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,200.71 / $2,695.00 / $4,295.00	Facility		$2,200.71	$2,695.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.62 / $552.01 / $1,104.65	Professional		$265.62	$552.01	$1,104.65