Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $273.52 / $14,482.00	Facility		$142.29	$273.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $171.67 / $506.22	Professional		$100.43	$171.67	$506.22
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 $119.91 / $216.14 / $461.34	Professional		$119.91	$216.14	$461.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.70 / $567.58 / $915.49	Facility		$485.70	$567.58	$915.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $302.24 / $652.96	Professional		$135.05	$302.24	$652.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.58 / $188.85 / $328.22	Facility		$105.58	$188.85	$328.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.58 / $252.00 / $4,514.00	Facility		$105.58	$252.00	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $399.63 / $2,019.84	Professional		$182.61	$399.63	$2,019.84
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 $100.91 / $171.67 / $333.41	Facility		$100.91	$171.67	$333.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $324.77 / $570.11	Professional		$189.56	$324.77	$570.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $667.20 / $667.20 / $667.20	Facility		$667.20	$667.20	$667.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.14 / $710.08 / $2,019.84	Professional		$181.14	$710.08	$2,019.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $406.64 / $923.23 / $1,755.10	Professional		$406.64	$923.23	$1,755.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,725.00	Facility		$2,367.00	$3,088.30	$4,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $330.81 / $759.49	Professional		$162.58	$330.81	$759.49