Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $117.78 / $17,823.00	Facility		$117.78	$117.78	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $142.86 / $352.39	Professional		$117.78	$142.86	$352.39
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 $188.97 / $308.04 / $722.03	Professional		$188.97	$308.04	$722.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $931.76 / $1,088.83 / $1,670.30	Facility		$931.76	$1,088.83	$1,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $890.87 / $1,012.35	Professional		$392.63	$890.87	$1,012.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $387.55 / $976.23	Facility		$49.71	$387.55	$976.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $690.81 / $1,789.00	Facility		$117.78	$690.81	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.73 / $586.33 / $1,402.96	Professional		$317.73	$586.33	$1,402.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $163.35	Professional		$50.00	$55.00	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $387.55 / $976.23	Facility		$49.71	$387.55	$976.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $526.79 / $751.30	Professional		$368.82	$526.79	$751.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $410.72 / $1,033.95 / $1,033.95	Facility		$410.72	$1,033.95	$1,033.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.19 / $938.48 / $1,402.96	Professional		$806.19	$938.48	$1,402.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $635.86 / $635.86 / $635.86	Professional		$635.86	$635.86	$635.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $610.90 / $1,506.00 / $1,506.00	Professional		$610.90	$1,506.00	$1,506.00
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 $305.91 / $604.82 / $1,293.19	Professional		$305.91	$604.82	$1,293.19