Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $298.88 / $14,482.00	Facility		$196.64	$298.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $214.73 / $646.94	Professional		$135.13	$214.73	$646.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $262.05 / $609.57	Professional		$153.02	$262.05	$609.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.55 / $622.34 / $1,003.81	Facility		$532.55	$622.34	$1,003.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.53 / $397.00 / $669.34	Professional		$168.53	$397.00	$669.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.69 / $216.14 / $358.66	Facility		$125.69	$216.14	$358.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $288.19 / $5,831.69	Facility		$145.19	$288.19	$5,831.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $412.44 / $1,467.52	Professional		$194.20	$412.44	$1,467.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $158.91 / $383.38	Professional		$95.78	$158.91	$383.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.69 / $216.14 / $365.44	Facility		$125.69	$216.14	$365.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $424.07 / $630.69	Professional		$254.80	$424.07	$630.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $922.02 / $922.02 / $922.02	Facility		$922.02	$922.02	$922.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.19 / $844.16 / $1,467.52	Professional		$222.19	$844.16	$1,467.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $591.95 / $1,276.92 / $1,928.71	Professional		$591.95	$1,276.92	$1,928.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.20 / $362.50 / $823.85	Professional		$194.20	$362.50	$823.85