Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $257.83 / $14,482.00	Facility		$70.95	$257.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $109.32 / $272.14	Professional		$66.89	$109.32	$272.14
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 $98.36 / $228.62 / $558.29	Professional		$98.36	$228.62	$558.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.10 / $371.72 / $494.05	Facility		$318.10	$371.72	$494.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $217.67 / $426.50	Professional		$91.37	$217.67	$426.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $123.45 / $296.27	Facility		$69.64	$123.45	$296.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $140.43 / $1,449.00	Facility		$70.95	$140.43	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $432.47 / $3,576.94	Professional		$125.59	$432.47	$3,576.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $98.65 / $243.56	Professional		$58.91	$98.65	$243.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.97 / $123.45 / $296.27	Facility		$69.97	$123.45	$296.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.25 / $257.44 / $400.87	Professional		$158.25	$257.44	$400.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.33 / $405.50 / $4,406.00	Facility		$181.33	$405.50	$4,406.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $528.65 / $3,576.94	Professional		$122.47	$528.65	$3,576.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.38 / $411.60 / $709.69	Professional		$338.38	$411.60	$709.69
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 $121.59 / $313.67 / $584.19	Professional		$121.59	$313.67	$584.19