Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $182.34 / $14,482.00	Facility		$88.15	$182.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $141.09 / $231.85	Professional		$88.15	$141.09	$231.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.46 / $383.88 / $922.35	Professional		$183.46	$383.88	$922.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.46 / $623.39 / $1,005.51	Facility		$533.46	$623.39	$1,005.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $177.79 / $361.37	Professional		$132.19	$177.79	$361.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $182.34 / $278.69	Facility		$88.15	$182.34	$278.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $233.69 / $1,789.00	Facility		$98.18	$233.69	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $631.97 / $1,109.11	Professional		$259.39	$631.97	$1,109.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $156.39 / $387.94	Professional		$70.00	$156.39	$387.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $182.34 / $278.69	Facility		$88.15	$182.34	$278.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.26 / $327.05 / $548.79	Professional		$198.26	$327.05	$548.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $486.10 / $486.10 / $486.10	Facility		$486.10	$486.10	$486.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $691.10 / $1,283.65	Professional		$153.85	$691.10	$1,283.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $182.61 / $382.62	Professional		$182.61	$182.61	$382.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $417.63 / $857.06	Professional		$205.45	$417.63	$857.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $583.60 / $1,050.28	Professional		$232.75	$583.60	$1,050.28