Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.32 / $104.32 / $14,482.00	Facility		$104.32	$104.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $104.32 / $460.34	Professional		$20.00	$104.32	$460.34
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 $165.08 / $325.36 / $990.44	Professional		$165.08	$325.36	$990.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $483.34 / $741.46	Facility		$413.61	$483.34	$741.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.61 / $599.91 / $681.71	Professional		$179.61	$599.91	$681.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.32 / $289.80 / $608.94	Facility		$104.32	$289.80	$608.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.90 / $687.87 / $1,789.00	Facility		$144.90	$687.87	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $269.32 / $733.02	Professional		$166.81	$269.32	$733.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $144.90	Professional		$50.00	$50.00	$144.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.32 / $289.80 / $608.94	Facility		$104.32	$289.80	$608.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.36 / $689.92 / $985.60	Professional		$346.36	$689.92	$985.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,262.80 / $1,862.05 / $1,862.05	Facility		$1,262.80	$1,862.05	$1,862.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $710.41 / $1,225.17 / $1,615.05	Professional		$710.41	$1,225.17	$1,615.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $532.28 / $532.28 / $532.28	Professional		$532.28	$532.28	$532.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $913.22 / $913.22 / $913.22	Professional		$913.22	$913.22	$913.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $160.81 / $290.10 / $635.67	Professional		$160.81	$290.10	$635.67