Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $196.40 / $14,482.00	Facility		$89.07	$196.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $96.28 / $1,062.50	Professional		$88.14	$96.28	$1,062.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $248.71 / $532.24	Professional		$95.40	$248.71	$532.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.31 / $294.85 / $475.58	Facility		$252.31	$294.85	$475.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $276.50 / $402.85	Professional		$138.32	$276.50	$402.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $133.56 / $395.91	Facility		$89.07	$133.56	$395.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.02 / $2,586.00 / $6,150.00	Facility		$96.02	$2,586.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $233.70 / $621.48	Professional		$110.33	$233.70	$621.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $118.65 / $221.50	Professional		$52.98	$118.65	$221.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $150.01 / $395.91	Facility		$89.07	$150.01	$395.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $288.06 / $339.32	Professional		$186.55	$288.06	$339.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,017.35 / $4,017.35 / $4,017.35	Facility		$4,017.35	$4,017.35	$4,017.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $467.40 / $1,509.00	Professional		$134.00	$467.40	$1,509.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.12 / $540.09 / $540.09	Professional		$338.12	$540.09	$540.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $270.44 / $467.30	Professional		$110.33	$270.44	$467.30