Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.61 / $515.16 / $6,461.00	Facility		$209.61	$515.16	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.61 / $316.48 / $766.60	Professional		$209.61	$316.48	$766.60
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 $295.91 / $711.20 / $1,412.75	Professional		$295.91	$711.20	$1,412.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.63 / $1,154.11 / $1,770.45	Facility		$987.63	$1,154.11	$1,770.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.76 / $494.21 / $959.34	Professional		$258.76	$494.21	$959.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.24 / $414.27 / $1,022.13	Facility		$245.24	$414.27	$1,022.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.77 / $602.64 / $1,513.00	Facility		$250.77	$602.64	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.26 / $580.52 / $1,865.60	Professional		$303.26	$580.52	$1,865.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $380.55 / $891.17	Professional		$233.48	$380.55	$891.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $245.24 / $414.27 / $1,022.13	Facility		$245.24	$414.27	$1,022.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $566.48 / $837.19 / $1,222.43	Professional		$566.48	$837.19	$1,222.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $483.11 / $645.66 / $1,164.09	Facility		$483.11	$645.66	$1,164.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $1,234.59 / $2,771.60	Professional		$310.45	$1,234.59	$2,771.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $461.99 / $461.99 / $700.86	Professional		$461.99	$461.99	$700.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.50 / $1,025.98 / $1,595.27	Professional		$446.50	$1,025.98	$1,595.27
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $543.16 / $1,331.81	Professional		$312.81	$543.16	$1,331.81