Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $141.57 / $14,482.00	Facility		$69.04	$141.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $71.06 / $252.15	Professional		$65.27	$71.06	$252.15
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 $66.84 / $176.55 / $461.31	Professional		$66.84	$176.55	$461.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $207.45 / $334.60	Facility		$177.52	$207.45	$334.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $214.02 / $287.75	Professional		$98.17	$214.02	$287.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $75.36 / $135.28	Facility		$26.87	$75.36	$135.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $254.38 / $8,384.00	Facility		$62.92	$254.38	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $230.86 / $461.36	Professional		$78.64	$230.86	$461.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $91.67 / $163.35	Professional		$41.98	$91.67	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $75.36 / $135.28	Facility		$26.87	$75.36	$135.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $208.77 / $277.86	Professional		$135.19	$208.77	$277.86
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 $95.37 / $561.66 / $1,301.89	Professional		$95.37	$561.66	$1,301.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $345.60 / $345.60	Professional		$345.60	$345.60	$345.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $341.79 / $404.66 / $404.66	Professional		$341.79	$404.66	$404.66
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 $73.54 / $202.99 / $329.10	Professional		$73.54	$202.99	$329.10