Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $178.45 / $14,482.00	Facility		$178.45	$178.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $184.47 / $374.05	Professional		$178.45	$184.47	$374.05
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 $290.33 / $596.07 / $1,302.67	Professional		$290.33	$596.07	$1,302.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.41 / $570.74 / $875.53	Facility		$488.41	$570.74	$875.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $291.08 / $431.50	Professional		$212.05	$291.08	$431.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $170.68 / $298.38 / $769.56	Facility		$170.68	$298.38	$769.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $623.91 / $4,195.00	Facility		$178.45	$623.91	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $431.50 / $1,349.07	Professional		$170.68	$431.50	$1,349.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $566.67	Professional		$50.00	$55.00	$566.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $170.68 / $298.38 / $769.56	Facility		$170.68	$298.38	$769.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.97 / $561.51 / $800.80	Professional		$305.97	$561.51	$800.80
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 $492.24 / $1,582.30 / $2,051.52	Professional		$492.24	$1,582.30	$2,051.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.52 / $333.52 / $333.52	Professional		$333.52	$333.52	$333.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $789.91 / $789.91 / $789.91	Professional		$789.91	$789.91	$789.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $494.86 / $1,313.31	Professional		$178.33	$494.86	$1,313.31