Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.00 / $550.73 / $5,715.91	Facility		$166.00	$550.73	$5,715.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $144.40 / $370.11	Professional		$102.25	$144.40	$370.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $345.79 / $743.73	Professional		$138.41	$345.79	$743.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.60 / $472.81 / $762.63	Facility		$404.60	$472.81	$762.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.72 / $356.09 / $545.08	Professional		$166.72	$356.09	$545.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $167.57 / $295.27	Facility		$109.73	$167.57	$295.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $250.71 / $5,639.00	Facility		$109.73	$250.71	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $418.24 / $762.72	Professional		$162.97	$418.24	$762.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $182.56 / $400.33	Professional		$85.00	$182.56	$400.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $167.57 / $295.27	Facility		$109.73	$167.57	$295.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.15 / $344.19 / $502.52	Professional		$234.15	$344.19	$502.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $477.56 / $477.56 / $477.56	Facility		$477.56	$477.56	$477.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $493.90 / $1,130.96	Professional		$142.56	$493.90	$1,130.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $312.77 / $495.30 / $742.63	Professional		$312.77	$495.30	$742.63
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 $140.53 / $403.52 / $642.63	Professional		$140.53	$403.52	$642.63