Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.19 / $271.70 / $14,482.00	Facility		$197.19	$271.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $175.61 / $470.44	Professional		$127.16	$175.61	$470.44
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 $143.91 / $254.60 / $678.90	Professional		$143.91	$254.60	$678.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.04 / $510.72 / $823.77	Facility		$437.04	$510.72	$823.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $329.02 / $743.91	Professional		$152.51	$329.02	$743.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.91 / $202.41 / $315.97	Facility		$144.91	$202.41	$315.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.91 / $260.61 / $5,639.00	Facility		$144.91	$260.61	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $387.98 / $2,205.30	Professional		$162.36	$387.98	$2,205.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $139.75 / $345.27	Professional		$83.09	$139.75	$345.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.91 / $202.93 / $336.48	Facility		$144.91	$202.93	$336.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $384.93 / $554.16	Professional		$254.80	$384.93	$554.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $919.80 / $919.80 / $919.80	Facility		$919.80	$919.80	$919.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.57 / $697.82 / $2,205.30	Professional		$223.57	$697.82	$2,205.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $1,273.36 / $1,594.35	Professional		$472.96	$1,273.36	$1,594.35
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 $162.36 / $324.88 / $712.79	Professional		$162.36	$324.88	$712.79