Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $469.15 / $5,024.00	Facility		$78.26	$469.15	$5,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $203.86 / $477.45	Professional		$78.26	$203.86	$477.45
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 $111.02 / $197.55 / $484.85	Professional		$111.02	$197.55	$484.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $185.67 / $296.32 / $727.28	Professional	50	$185.67	$296.32	$727.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.08 / $733.96 / $1,125.92	Facility		$628.08	$733.96	$1,125.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $377.04 / $1,033.49	Professional		$156.36	$377.04	$1,033.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $195.45 / $384.81	Facility		$78.26	$195.45	$384.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $221.26 / $2,951.70	Facility		$80.80	$221.26	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $418.32 / $1,998.00	Professional		$219.79	$418.32	$1,998.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $208.51 / $474.86	Professional		$112.30	$208.51	$474.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $195.45 / $384.81	Facility		$78.26	$195.45	$384.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $356.62 / $759.96	Professional		$194.49	$356.62	$759.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.01 / $386.01 / $982.04	Facility		$386.01	$386.01	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.69 / $836.64 / $1,998.00	Professional		$191.69	$836.64	$1,998.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $287.16 / $496.82 / $1,361.82	Professional		$287.16	$496.82	$1,361.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.79 / $383.09 / $912.09	Professional		$219.79	$383.09	$912.09