Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $217.46 / $14,482.00	Facility		$96.48	$217.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $101.77 / $399.56	Professional		$96.48	$101.77	$399.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $290.51 / $786.06	Professional		$101.26	$290.51	$786.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.14 / $318.02 / $512.95	Facility		$272.14	$318.02	$512.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.04 / $407.44 / $463.00	Professional		$201.04	$407.44	$463.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $141.76 / $210.00	Facility		$96.48	$141.76	$210.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $1,770.74 / $4,514.00	Facility		$106.32	$1,770.74	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.31 / $281.49 / $779.95	Professional		$121.31	$281.49	$779.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $146.35 / $334.99	Professional		$70.00	$146.35	$334.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $141.76 / $210.00	Facility		$96.48	$141.76	$210.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $347.00 / $462.26	Professional		$225.55	$347.00	$462.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,108.55 / $2,108.55 / $2,108.55	Facility		$2,108.55	$2,108.55	$2,108.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $505.45 / $803.12	Professional		$204.70	$505.45	$803.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $362.35 / $362.35 / $362.35	Professional		$362.35	$362.35	$362.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $610.14 / $610.14	Professional		$355.00	$610.14	$610.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $317.89 / $510.87	Professional		$118.71	$317.89	$510.87