Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $185.99 / $14,482.00	Facility		$77.45	$185.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $169.49 / $274.76	Professional		$71.04	$169.49	$274.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,856.00 / $4,638.00	Facility		$1,314.00	$2,856.00	$4,638.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $208.90 / $555.21	Professional		$87.44	$208.90	$555.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.88 / $544.41 / $835.15	Facility		$465.88	$544.41	$835.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $178.66 / $435.33	Professional		$70.73	$178.66	$435.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $161.72 / $408.36	Facility		$64.80	$161.72	$408.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $162.00 / $408.36	Facility		$65.23	$162.00	$408.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $270.06 / $823.68	Professional		$164.20	$270.06	$823.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $158.49 / $336.33	Professional		$95.17	$158.49	$336.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $161.72 / $408.36	Facility		$64.80	$161.72	$408.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $263.70 / $497.20	Professional		$132.05	$263.70	$497.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $171.15 / $289.01	Facility		$136.91	$171.15	$289.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $308.07 / $1,242.00	Professional		$84.90	$308.07	$1,242.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $252.16 / $602.92	Professional		$144.41	$252.16	$602.92
United Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $270.06 / $653.33	Professional		$163.36	$270.06	$653.33