Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $11,794.41 / $14,482.00	Facility		$119.92	$11,794.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $181.64 / $405.00	Professional		$119.92	$181.64	$405.00
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 $184.49 / $302.88 / $717.76	Professional		$184.49	$302.88	$717.76
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 $119.92 / $181.64 / $350.15	Facility		$119.92	$181.64	$350.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.31 / $260.47 / $1,778.00	Facility		$140.31	$260.47	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $514.32 / $1,553.04	Professional		$194.78	$514.32	$1,553.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $699.36	Professional		$50.00	$58.40	$699.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $181.64 / $350.15	Facility		$119.92	$181.64	$350.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.46 / $504.04 / $691.27	Professional		$356.46	$504.04	$691.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $967.31 / $967.31 / $967.31	Facility		$967.31	$967.31	$967.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $873.50 / $1,553.04	Professional		$873.50	$873.50	$1,553.04
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 $194.78 / $461.70 / $813.92	Professional		$194.78	$461.70	$813.92