Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $352.00 / $14,482.00	Facility		$141.94	$352.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $168.85 / $373.07	Professional		$92.06	$168.85	$373.07
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 $119.52 / $215.62 / $494.21	Professional		$119.52	$215.62	$494.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.01 / $574.95 / $927.38	Facility		$492.01	$574.95	$927.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $341.00 / $782.97	Professional		$135.28	$341.00	$782.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.34 / $189.08 / $332.09	Facility		$105.34	$189.08	$332.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.34 / $273.17 / $5,639.00	Facility		$105.34	$273.17	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $428.95 / $2,809.41	Professional		$180.81	$428.95	$2,809.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $153.96 / $353.15	Professional		$95.17	$153.96	$353.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.34 / $189.00 / $332.96	Facility		$105.34	$189.00	$332.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $338.14 / $592.66	Professional		$192.44	$338.14	$592.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $669.00 / $669.00	Facility		$669.00	$669.00	$669.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.91 / $777.29 / $2,809.41	Professional		$182.91	$777.29	$2,809.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $924.37 / $1,775.90	Professional		$405.72	$924.37	$1,775.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $362.16 / $765.25	Professional		$180.81	$362.16	$765.25