Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.60 / $206.71 / $14,482.00	Facility		$91.60	$206.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $94.66 / $365.96	Professional		$85.35	$94.66	$365.96
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 $97.89 / $275.00 / $704.36	Professional		$97.89	$275.00	$704.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.62 / $302.22 / $487.47	Facility		$258.62	$302.22	$487.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $387.48 / $440.31	Professional		$191.10	$387.48	$440.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.60 / $125.60 / $197.52	Facility		$91.60	$125.60	$197.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.06 / $1,770.74 / $4,514.00	Facility		$101.06	$1,770.74	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $272.74 / $743.38	Professional		$116.08	$272.74	$743.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $132.10 / $274.48	Professional		$58.40	$132.10	$274.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.60 / $137.05 / $197.52	Facility		$91.60	$137.05	$197.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $330.00 / $439.35	Professional		$214.50	$330.00	$439.35
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 $194.67 / $487.22 / $813.45	Professional		$194.67	$487.22	$813.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $344.97 / $344.97	Professional		$344.97	$344.97	$344.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $296.41 / $580.20 / $580.20	Professional		$296.41	$580.20	$580.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.52 / $297.27 / $486.91	Professional		$115.52	$297.27	$486.91