Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.61 / $307.26 / $14,482.00	Facility		$150.61	$307.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $154.91 / $497.38	Professional		$142.31	$154.91	$497.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.51 / $387.54 / $1,013.07	Professional		$145.51	$387.54	$1,013.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.28 / $454.91 / $733.75	Facility		$389.28	$454.91	$733.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $467.06 / $621.35	Professional		$217.00	$467.06	$621.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $203.71 / $801.74	Facility		$150.22	$203.71	$801.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.61 / $801.74 / $8,384.00	Facility		$150.61	$801.74	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $483.81 / $998.91	Professional		$171.46	$483.81	$998.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $199.18 / $326.70	Professional		$77.30	$199.18	$326.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $203.71 / $801.74	Facility		$150.22	$203.71	$801.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.85 / $450.66 / $601.62	Professional		$291.85	$450.66	$601.62
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 $208.14 / $722.10 / $2,142.87	Professional		$208.14	$722.10	$2,142.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.90 / $758.90 / $758.90	Professional		$758.90	$758.90	$758.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.38 / $883.16 / $883.16	Professional		$371.38	$883.16	$883.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $441.90 / $720.73	Professional		$169.08	$441.90	$720.73