Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.35 / $255.71 / $14,482.00	Facility		$133.35	$255.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $133.35 / $426.04	Professional		$126.84	$133.35	$426.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $313.81 / $744.87	Professional		$123.44	$313.81	$744.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.80 / $374.88 / $604.66	Facility		$320.80	$374.88	$604.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $388.26 / $512.54	Professional		$186.28	$388.26	$512.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $136.38 / $244.35	Facility		$31.50	$136.38	$244.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.04 / $249.14 / $4,514.00	Facility		$113.04	$249.14	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $419.77 / $708.04	Professional		$146.33	$419.77	$708.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $168.07 / $239.36	Professional		$59.78	$168.07	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $133.35 / $244.35	Facility		$31.50	$133.35	$244.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $376.39 / $443.36	Professional		$243.75	$376.39	$443.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,017.35 / $4,017.35 / $4,017.35	Facility		$4,017.35	$4,017.35	$4,017.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.01 / $618.29 / $1,939.05	Professional		$173.01	$618.29	$1,939.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $339.14 / $339.14 / $339.14	Professional		$339.14	$339.14	$339.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $368.45 / $601.07 / $601.07	Professional		$368.45	$601.07	$601.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $374.87 / $583.99	Professional		$144.83	$374.87	$583.99