Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $201.74 / $14,482.00	Facility		$50.89	$201.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $57.36 / $201.74	Professional		$50.89	$57.36	$201.74
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 $54.64 / $156.97 / $411.02	Professional		$54.64	$156.97	$411.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $167.43 / $270.06	Facility		$143.28	$167.43	$270.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $213.06 / $242.11	Professional		$104.65	$213.06	$242.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $71.70 / $136.59	Facility		$50.89	$71.70	$136.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.34 / $1,770.74 / $4,514.00	Facility		$55.34	$1,770.74	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $185.05 / $474.00	Professional		$70.29	$185.05	$474.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $110.33 / $163.35	Professional		$41.98	$110.33	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $76.50 / $136.59	Facility		$50.89	$76.50	$136.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $169.63 / $243.97	Professional		$109.85	$169.63	$243.97
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 $107.03 / $333.08 / $1,794.00	Professional		$107.03	$333.08	$1,794.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $203.85 / $319.02 / $319.02	Professional		$203.85	$319.02	$319.02
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 $70.29 / $185.05 / $257.67	Professional		$70.29	$185.05	$257.67