Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $165.76 / $14,482.00	Facility		$74.73	$165.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $79.64 / $370.26	Professional		$70.51	$79.64	$370.26
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 $83.76 / $235.68 / $598.66	Professional		$83.76	$235.68	$598.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.26 / $242.20 / $390.66	Facility		$207.26	$242.20	$390.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $310.31 / $380.01	Professional		$153.22	$310.31	$380.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $99.55 / $161.62	Facility		$74.73	$99.55	$161.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.04 / $754.80 / $1,789.00	Facility		$81.04	$754.80	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $278.70 / $639.99	Professional		$99.54	$278.70	$639.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $139.36 / $239.36	Professional		$59.78	$139.36	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $115.95 / $161.62	Facility		$74.73	$115.95	$161.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $241.89 / $347.91	Professional		$156.65	$241.89	$347.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $445.09 / $703.28	Professional		$155.90	$445.09	$703.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $282.70 / $282.70	Professional		$282.70	$282.70	$282.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $464.68 / $464.68	Professional		$279.72	$464.68	$464.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $283.89 / $419.20	Professional		$98.78	$283.89	$419.20