Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $721.03 / $3,515.52	Facility		$114.33	$721.03	$3,515.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $119.81 / $714.40	Professional		$85.42	$119.81	$714.40
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 $94.94 / $240.32 / $434.77	Professional		$94.94	$240.32	$434.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.81 / $289.58 / $467.09	Facility		$247.81	$289.58	$467.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $284.92 / $393.71	Professional		$147.76	$284.92	$393.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $133.77 / $688.62	Facility		$105.00	$133.77	$688.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $1,083.23 / $8,384.00	Facility		$105.00	$1,083.23	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $244.32 / $485.90	Professional		$114.68	$244.32	$485.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $140.12 / $321.47	Professional		$70.00	$140.12	$321.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $133.77 / $688.62	Facility		$105.00	$133.77	$688.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $277.73 / $350.90	Professional		$200.85	$277.73	$350.90
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 $139.57 / $475.15 / $1,500.00	Professional		$139.57	$475.15	$1,500.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $177.66 / $177.66	Professional		$177.66	$177.66	$177.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $300.32 / $469.75	Professional		$197.36	$300.32	$469.75
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 $114.68 / $282.16 / $430.99	Professional		$114.68	$282.16	$430.99