Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $14,482.00	Facility		$102.60	$102.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $155.44 / $455.20	Professional		$102.60	$155.44	$455.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $259.27 / $631.41	Professional		$157.85	$259.27	$631.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.50 / $473.86 / $726.92	Facility		$405.50	$473.86	$726.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $245.22 / $278.66	Professional		$171.00	$245.22	$278.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $163.30 / $336.94	Facility		$102.60	$163.30	$336.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.04 / $256.50 / $1,778.00	Facility		$120.04	$256.50	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.85 / $432.74 / $1,242.96	Professional		$180.85	$432.74	$1,242.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $590.41	Professional		$50.00	$58.40	$590.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $163.30 / $336.94	Facility		$102.60	$163.30	$336.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $403.08 / $552.79	Professional		$301.02	$403.08	$552.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $773.56 / $773.56 / $773.56	Facility		$773.56	$773.56	$773.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $698.90 / $753.55 / $1,242.96	Professional		$698.90	$753.55	$1,242.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $493.28 / $493.28 / $493.28	Professional		$493.28	$493.28	$493.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $597.30 / $994.45 / $994.45	Professional		$597.30	$994.45	$994.45
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 $179.30 / $391.85 / $723.15	Professional		$179.30	$391.85	$723.15