Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $322.07 / $6,461.00	Facility		$140.30	$322.07	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $140.30 / $427.41	Professional		$115.51	$140.30	$427.41
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 $151.86 / $366.68 / $773.88	Professional		$151.86	$366.68	$773.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.82 / $491.77 / $793.20	Facility		$420.82	$491.77	$793.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $382.79 / $606.71	Professional		$204.34	$382.79	$606.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $171.18 / $258.75	Facility		$137.38	$171.18	$258.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.82 / $250.52 / $8,384.00	Facility		$139.82	$250.52	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $347.13 / $962.00	Professional		$149.41	$347.13	$962.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $176.27 / $360.23	Professional		$79.12	$176.27	$360.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $171.18 / $258.75	Facility		$137.38	$171.18	$258.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $290.41 / $374.62 / $537.14	Professional		$290.41	$374.62	$537.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $609.08 / $609.08 / $609.08	Facility		$609.08	$609.08	$609.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.61 / $589.79 / $1,195.88	Professional		$199.61	$589.79	$1,195.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $319.86 / $319.86 / $397.07	Professional		$319.86	$319.86	$397.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.88 / $699.24 / $863.13	Professional		$323.88	$699.24	$863.13
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 $145.30 / $320.19 / $597.05	Professional		$145.30	$320.19	$597.05