Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $313.88 / $14,482.00	Facility		$142.16	$313.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $143.18 / $519.44	Professional		$129.75	$143.18	$519.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $367.96 / $826.79	Professional		$145.07	$367.96	$826.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.70 / $471.76 / $760.93	Facility		$403.70	$471.76	$760.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $441.34 / $644.54	Professional		$207.96	$441.34	$644.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $210.36 / $471.32	Facility		$142.16	$210.36	$471.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $471.32 / $6,312.00	Facility		$153.44	$471.32	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $354.53 / $942.80	Professional		$167.30	$354.53	$942.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $191.96 / $360.23	Professional		$77.64	$191.96	$360.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $210.36 / $471.32	Facility		$142.16	$210.36	$471.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.35 / $459.00 / $542.67	Professional		$298.35	$459.00	$542.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.90 / $709.05 / $1,134.88	Professional		$213.90	$709.05	$1,134.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $417.80 / $862.06 / $862.06	Professional		$417.80	$862.06	$862.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,523.30 / $6,438.00	Facility		$2,976.00	$4,523.30	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $433.03 / $686.02	Professional		$167.30	$433.03	$686.02