Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $269.14 / $14,482.00	Facility		$166.91	$269.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $166.91 / $309.49	Professional		$102.95	$166.91	$309.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $234.89 / $516.95	Professional		$129.93	$234.89	$516.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $242.23 / $372.47 / $794.71	Professional	50	$242.23	$372.47	$794.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.10 / $563.37 / $908.70	Facility		$482.10	$563.37	$908.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $346.66 / $647.38	Professional		$150.93	$346.66	$647.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $194.39 / $326.62	Facility		$106.50	$194.39	$326.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.01 / $259.18 / $5,831.69	Facility		$111.01	$259.18	$5,831.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $369.06 / $1,321.60	Professional		$172.79	$369.06	$1,321.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $140.19 / $331.85	Professional		$83.91	$140.19	$331.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $194.39 / $326.62	Facility		$106.50	$194.39	$326.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $359.16 / $566.86	Professional		$215.80	$359.16	$566.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $783.06 / $783.06 / $783.06	Facility		$783.06	$783.06	$783.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $761.63 / $1,321.60	Professional		$187.72	$761.63	$1,321.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $469.75 / $1,085.13 / $1,740.15	Professional		$469.75	$1,085.13	$1,740.15
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 $173.28 / $322.70 / $738.54	Professional		$173.28	$322.70	$738.54