Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $262.37 / $14,482.00	Facility		$138.16	$262.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $138.16 / $449.79	Professional		$114.02	$138.16	$449.79
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 $127.89 / $351.89 / $709.41	Professional		$127.89	$351.89	$709.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.71 / $386.46 / $623.35	Facility		$330.71	$386.46	$623.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $378.68 / $526.85	Professional		$192.40	$378.68	$526.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $156.10 / $250.71	Facility		$128.27	$156.10	$250.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $4,103.00 / $8,384.00	Facility		$138.16	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $316.88 / $626.07	Professional		$151.47	$316.88	$626.07
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 $128.27 / $156.10 / $250.71	Facility		$128.27	$156.10	$250.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $393.45 / $463.46	Professional		$254.80	$393.45	$463.46
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 $197.47 / $633.75 / $1,068.90	Professional		$197.47	$633.75	$1,068.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $318.92 / $318.92 / $318.92	Professional		$318.92	$318.92	$318.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $691.78 / $691.78	Professional		$309.48	$691.78	$691.78
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 $150.54 / $370.31 / $555.48	Professional		$150.54	$370.31	$555.48