Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $161.51 / $14,482.00	Facility		$78.67	$161.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $83.07 / $271.25	Professional		$74.39	$83.07	$271.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $201.06 / $527.58	Professional		$77.04	$201.06	$527.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $380.46	Facility		$201.85	$235.88	$380.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $242.74 / $373.48	Professional		$117.65	$242.74	$373.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $92.04 / $154.33	Facility		$71.78	$92.04	$154.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $2,781.00 / $6,150.00	Facility		$78.67	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $210.21 / $533.45	Professional		$90.52	$210.21	$533.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $106.86 / $163.35	Professional		$41.98	$106.86	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $92.04 / $154.33	Facility		$71.78	$92.04	$154.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $235.87 / $321.27	Professional		$152.75	$235.87	$321.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $382.20 / $655.54	Professional		$108.17	$382.20	$655.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $382.62 / $458.97 / $458.97	Professional		$382.62	$458.97	$458.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $233.90 / $375.02	Professional		$90.52	$233.90	$375.02