Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $202.16 / $14,482.00	Facility		$100.32	$202.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $159.15 / $256.38	Professional		$100.32	$159.15	$256.38
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 $201.62 / $425.60 / $1,006.07	Professional		$201.62	$425.60	$1,006.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.94 / $692.89 / $1,117.60	Facility		$592.94	$692.89	$1,117.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $202.85 / $401.18	Professional		$128.00	$202.85	$401.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $202.16 / $308.18	Facility		$100.32	$202.16	$308.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $257.19 / $1,789.00	Facility		$112.00	$257.19	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $696.81 / $1,045.71	Professional		$278.33	$696.81	$1,045.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $187.40 / $414.76	Professional		$70.00	$187.40	$414.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $202.16 / $308.18	Facility		$100.32	$202.16	$308.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.33 / $372.48 / $618.85	Professional		$226.33	$372.48	$618.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $552.40 / $552.40 / $552.40	Facility		$552.40	$552.40	$552.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $766.55 / $1,416.78	Professional		$173.49	$766.55	$1,416.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.75 / $208.75 / $422.78	Professional		$208.75	$208.75	$422.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $476.55 / $952.21	Professional		$226.28	$476.55	$952.21
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 $255.73 / $603.85 / $990.23	Professional		$255.73	$603.85	$990.23