Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $152.82 / $14,482.00	Facility		$79.79	$152.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $79.79 / $248.23	Professional		$75.65	$79.79	$248.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $185.92 / $423.07	Professional		$73.09	$185.92	$423.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.94 / $224.30 / $361.78	Facility		$191.94	$224.30	$361.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $231.57 / $309.33	Professional		$107.81	$231.57	$309.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $102.34 / $583.44	Facility		$42.00	$102.34	$583.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $583.44 / $6,312.00	Facility		$74.70	$583.44	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $248.71 / $439.36	Professional		$86.20	$248.71	$439.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $100.09 / $163.35	Professional		$41.98	$100.09	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $106.58 / $150.37	Facility		$42.00	$106.58	$150.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $224.83 / $264.83	Professional		$145.60	$224.83	$264.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $6,817.20 / $6,817.20	Facility		$6,817.20	$6,817.20	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $361.55 / $1,656.28	Professional		$103.20	$361.55	$1,656.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $201.14 / $201.14	Professional		$201.14	$201.14	$201.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $358.53 / $358.53	Professional		$61.90	$358.53	$358.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $252.36 / $346.14	Professional		$84.38	$252.36	$346.14