Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $256.82 / $14,482.00	Facility		$148.34	$256.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $158.18 / $578.00	Professional		$107.40	$158.18	$578.00
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 $123.40 / $311.52 / $564.09	Professional		$123.40	$311.52	$564.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.50 / $378.04 / $609.76	Facility		$323.50	$378.04	$609.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.96 / $371.33 / $486.00	Professional		$190.96	$371.33	$486.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.14 / $164.16 / $270.39	Facility		$126.14	$164.16	$270.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.14 / $315.00 / $11,598.00	Facility		$126.14	$315.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $317.19 / $630.33	Professional		$147.66	$317.19	$630.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $174.87 / $347.46	Professional		$70.00	$174.87	$347.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.14 / $164.16 / $270.39	Facility		$126.14	$164.16	$270.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $360.42 / $455.38	Professional		$260.64	$360.42	$455.38
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 $181.90 / $613.25 / $1,068.90	Professional		$181.90	$613.25	$1,068.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $230.29 / $230.29 / $230.29	Professional		$230.29	$230.29	$230.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $391.39 / $426.33	Professional		$256.33	$391.39	$426.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $367.03 / $537.51	Professional		$147.66	$367.03	$537.51