Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $139.24 / $1,894.00	Facility		$56.09	$139.24	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $116.54 / $458.02	Professional		$56.09	$116.54	$458.02
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 $101.55 / $247.10 / $590.16	Professional		$101.55	$247.10	$590.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.03 / $404.36 / $652.22	Facility		$346.03	$404.36	$652.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $199.51 / $424.33	Professional		$101.63	$199.51	$424.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $121.08 / $251.10	Facility		$56.09	$121.08	$251.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $196.25 / $11,100.00	Facility		$65.63	$196.25	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $300.62 / $818.14	Professional		$140.08	$300.62	$818.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $185.33 / $338.03	Professional		$76.43	$185.33	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $121.08 / $251.10	Facility		$56.09	$121.08	$251.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $247.00 / $427.20	Professional		$141.21	$247.00	$427.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $356.15 / $356.15	Facility		$356.15	$356.15	$356.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $291.64 / $1,265.00	Professional		$85.10	$291.64	$1,265.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $342.97 / $729.40	Professional		$207.15	$342.97	$729.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $376.21 / $593.91	Professional		$135.96	$376.21	$593.91