Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $234.36 / $14,482.00	Facility		$106.83	$234.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $118.69 / $462.64	Professional		$100.91	$118.69	$462.64
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 $118.43 / $326.39 / $853.78	Professional		$118.43	$326.39	$853.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.57 / $345.39 / $557.11	Facility		$295.57	$345.39	$557.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $442.54 / $522.13	Professional		$216.64	$442.54	$522.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $148.36 / $298.30	Facility		$106.83	$148.36	$298.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $754.80 / $1,789.00	Facility		$114.58	$754.80	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $375.69 / $900.70	Professional		$140.09	$375.69	$900.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $168.07 / $239.36	Professional		$59.78	$168.07	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $165.80 / $298.30	Facility		$106.83	$165.80	$298.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $347.28 / $499.49	Professional		$224.90	$347.28	$499.49
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 $222.33 / $583.70 / $1,131.01	Professional		$222.33	$583.70	$1,131.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.35 / $402.35 / $402.35	Professional		$402.35	$402.35	$402.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $431.48 / $662.70 / $662.70	Professional		$431.48	$662.70	$662.70
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 $139.93 / $392.25 / $634.09	Professional		$139.93	$392.25	$634.09