Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $97.20 / $14,482.00	Facility		$50.92	$97.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $50.92 / $163.83	Professional		$42.11	$50.92	$163.83
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 $45.51 / $127.39 / $254.04	Professional		$45.51	$127.39	$254.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.45 / $144.27 / $232.69	Facility		$123.45	$144.27	$232.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $139.32 / $225.07	Professional		$71.28	$139.32	$225.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $51.84 / $92.88	Facility		$47.52	$51.84	$92.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $5,496.00 / $8,783.00	Facility		$50.92	$5,496.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $113.35 / $215.98	Professional		$53.86	$113.35	$215.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $85.00 / $156.20	Professional		$41.98	$85.00	$156.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $51.84 / $92.88	Facility		$47.52	$51.84	$92.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $145.54 / $171.43	Professional		$94.25	$145.54	$171.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $226.70 / $550.76	Professional		$72.64	$226.70	$550.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $114.21 / $114.21	Professional		$114.21	$114.21	$114.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $254.49 / $254.49	Professional		$125.07	$254.49	$254.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $130.62 / $198.70	Professional		$53.86	$130.62	$198.70