Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $237.35 / $14,482.00	Facility		$64.84	$237.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $123.89 / $263.43	Professional		$64.18	$123.89	$263.43
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 $96.48 / $226.89 / $597.02	Professional		$96.48	$226.89	$597.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.93 / $405.42 / $538.83	Facility		$346.93	$405.42	$538.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $209.05 / $463.43	Professional		$84.17	$209.05	$463.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.40 / $123.36 / $219.75	Facility		$61.40	$123.36	$219.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $140.50 / $1,642.00	Facility		$64.84	$140.50	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $430.27 / $3,722.02	Professional		$136.66	$430.27	$3,722.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $126.96 / $315.53	Professional		$77.22	$126.96	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $128.54 / $219.75	Facility		$64.18	$128.54	$219.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $260.19 / $431.92	Professional		$148.71	$260.19	$431.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $166.92 / $298.95 / $2,922.50	Facility		$166.92	$298.95	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $585.36 / $3,722.02	Professional		$113.96	$585.36	$3,722.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $378.37 / $771.14	Professional		$308.00	$378.37	$771.14
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 $132.87 / $321.10 / $625.95	Professional		$132.87	$321.10	$625.95