Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.23 / $310.39 / $6,461.00	Facility		$104.23	$310.39	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $104.23 / $270.57	Professional		$81.31	$104.23	$270.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $15,579.70	Facility		$6,538.00	$10,908.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $306.85 / $681.98	Professional		$119.40	$306.85	$681.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.42 / $485.45 / $783.01	Facility		$415.42	$485.45	$783.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $321.83 / $524.59	Professional		$156.55	$321.83	$524.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.51 / $160.90 / $296.58	Facility		$103.51	$160.90	$296.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.23 / $187.70 / $11,598.00	Facility		$104.23	$187.70	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $308.19 / $747.35	Professional		$127.29	$308.19	$747.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $148.14 / $304.58	Professional		$77.22	$148.14	$304.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.03 / $151.75 / $296.58	Facility		$103.03	$151.75	$296.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $320.39 / $508.14	Professional		$217.37	$320.39	$508.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $561.60 / $561.60	Facility		$561.60	$561.60	$561.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $421.50 / $1,142.80	Professional		$162.22	$421.50	$1,142.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $237.68 / $237.68 / $392.90	Professional		$237.68	$237.68	$392.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $517.38 / $843.32	Professional		$252.17	$517.38	$843.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,622.22	Facility		$6,241.00	$9,953.00	$12,622.22
United Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $313.23 / $525.92	Professional		$121.36	$313.23	$525.92