Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.22 / $186.43 / $14,482.00	Facility		$51.22	$186.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $126.66 / $266.73	Professional		$48.47	$126.66	$266.73
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 $75.78 / $200.73 / $561.70	Professional		$75.78	$200.73	$561.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.13 / $403.31 / $536.03	Facility		$345.13	$403.31	$536.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $180.98 / $459.36	Professional		$66.91	$180.98	$459.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $126.66 / $247.70	Facility		$51.13	$126.66	$247.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $147.47 / $1,543.94	Facility		$51.37	$147.47	$1,543.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $469.79 / $3,402.52	Professional		$150.68	$469.79	$3,402.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $126.96 / $315.53	Professional		$76.43	$126.96	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $126.66 / $247.70	Facility		$51.13	$126.66	$247.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $211.95 / $424.71	Professional		$115.93	$211.95	$424.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $700.88 / $4,406.00	Facility		$131.10	$700.88	$4,406.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $576.91 / $3,402.52	Professional		$92.27	$576.91	$3,402.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $270.04 / $477.51 / $764.39	Professional		$270.04	$477.51	$764.39
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 $132.37 / $350.39 / $719.50	Professional		$132.37	$350.39	$719.50