Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $370.77 / $14,482.00	Facility		$146.97	$370.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $223.49 / $516.08	Professional		$94.23	$223.49	$516.08
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 $133.62 / $226.15 / $492.26	Professional		$133.62	$226.15	$492.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.42 / $772.92 / $1,246.70	Facility		$661.42	$772.92	$1,246.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $421.51 / $1,045.33	Professional		$152.57	$421.51	$1,045.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.26 / $202.25 / $433.80	Facility		$90.26	$202.25	$433.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $336.63 / $5,639.00	Facility		$99.69	$336.63	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $506.27 / $1,939.05	Professional		$239.05	$506.27	$1,939.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $159.05 / $439.22	Professional		$26.31	$159.05	$439.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.26 / $202.25 / $434.93	Facility		$90.26	$202.25	$434.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $413.81 / $772.20	Professional		$212.96	$413.81	$772.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $690.72 / $690.72 / $690.72	Facility		$690.72	$690.72	$690.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.01 / $898.72 / $1,939.05	Professional		$199.01	$898.72	$1,939.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $417.18 / $956.15 / $2,371.04	Professional		$417.18	$956.15	$2,371.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.33 / $482.66 / $1,002.37	Professional		$241.33	$482.66	$1,002.37