Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $172.40 / $307.25	Facility		$100.60	$172.40	$307.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $100.60 / $354.00	Professional		$72.55	$100.60	$354.00
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 $84.66 / $211.49 / $382.56	Professional		$84.66	$211.49	$382.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.27 / $252.73 / $407.64	Facility		$216.27	$252.73	$407.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $249.14 / $326.70	Professional		$131.52	$249.14	$326.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $118.52 / $494.14	Facility		$91.94	$118.52	$494.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $494.14 / $8,384.00	Facility		$91.94	$494.14	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $223.71 / $430.73	Professional		$101.76	$223.71	$430.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $140.12 / $310.44	Professional		$70.00	$140.12	$310.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.94 / $118.52 / $494.14	Facility		$91.94	$118.52	$494.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $245.37 / $310.02	Professional		$177.45	$245.37	$310.02
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 $122.05 / $420.55 / $1,500.00	Professional		$122.05	$420.55	$1,500.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $156.35 / $156.35	Professional		$156.35	$156.35	$156.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $262.62 / $344.08	Professional		$174.87	$262.62	$344.08
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 $101.76 / $202.01 / $368.61	Professional		$101.76	$202.01	$368.61