Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $228.31 / $14,482.00	Facility		$102.75	$228.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $117.42 / $406.90	Professional		$102.75	$117.42	$406.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $229.30 / $637.41	Professional		$110.99	$229.30	$637.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.66 / $333.81 / $512.07	Facility		$285.66	$333.81	$512.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.40 / $428.34 / $486.75	Professional		$174.40	$428.34	$486.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $136.33 / $240.57	Facility		$102.75	$136.33	$240.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $184.95 / $1,778.00	Facility		$102.75	$184.95	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $224.94 / $2,987.00	Professional		$128.46	$224.94	$2,987.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $100.30 / $232.75	Professional		$59.78	$100.30	$232.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $136.33 / $240.57	Facility		$102.75	$136.33	$240.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.11 / $273.24 / $407.89	Professional		$224.11	$273.24	$407.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,639.37 / $2,639.37 / $2,639.37	Facility		$2,639.37	$2,639.37	$2,639.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $553.60 / $2,987.00	Professional		$215.20	$553.60	$2,987.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $388.98 / $388.98 / $388.98	Professional		$388.98	$388.98	$388.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.83 / $629.89 / $641.40	Professional		$371.83	$629.89	$641.40
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 $128.46 / $221.44 / $498.24	Professional		$128.46	$221.44	$498.24