Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $339.23 / $3,119.00	Facility		$119.82	$339.23	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $163.97 / $455.61	Professional		$111.92	$163.97	$455.61
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 $153.26 / $370.06 / $806.43	Professional		$153.26	$370.06	$806.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.65 / $514.92 / $830.57	Facility		$440.65	$514.92	$830.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $393.13 / $591.54	Professional		$182.06	$393.13	$591.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $178.31 / $268.51	Facility		$94.50	$178.31	$268.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $221.67 / $8,384.00	Facility		$105.00	$221.67	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $487.07 / $833.44	Professional		$179.00	$487.07	$833.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $215.88 / $374.37	Professional		$84.56	$215.88	$374.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $178.31 / $268.51	Facility		$94.50	$178.31	$268.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.56 / $379.61 / $554.23	Professional		$258.56	$379.61	$554.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.32 / $524.32 / $524.32	Facility		$524.32	$524.32	$524.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $700.61 / $1,580.98	Professional		$156.50	$700.61	$1,580.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.67 / $301.67 / $453.43	Professional		$301.67	$301.67	$453.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $409.19 / $543.71 / $805.88	Professional		$409.19	$543.71	$805.88
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 $155.13 / $456.32 / $692.74	Professional		$155.13	$456.32	$692.74