Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.47 / $515.45 / $6,461.00	Facility		$117.47	$515.45	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $228.46 / $551.09	Professional		$117.47	$228.46	$551.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.05 / $522.16 / $1,200.96	Professional		$223.05	$522.16	$1,200.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.60 / $845.58 / $1,363.90	Facility		$723.60	$845.58	$1,363.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.79 / $489.87 / $948.78	Professional		$264.79	$489.87	$948.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $232.36 / $413.08	Facility		$128.54	$232.36	$413.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.01 / $399.22 / $11,598.00	Facility		$153.01	$399.22	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $781.11 / $1,340.14	Professional		$301.36	$781.11	$1,340.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $368.93 / $676.07	Professional		$85.00	$368.93	$676.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $232.36 / $413.08	Facility		$128.54	$232.36	$413.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $524.54 / $907.23	Professional		$328.98	$524.54	$907.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $652.44 / $652.44 / $652.44	Facility		$652.44	$652.44	$652.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.44 / $1,147.68 / $2,056.57	Professional		$269.44	$1,147.68	$2,056.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $258.58 / $519.11	Professional		$258.58	$258.58	$519.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $476.42 / $595.44 / $1,161.03	Professional		$476.42	$595.44	$1,161.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $681.59 / $1,145.44	Professional		$295.93	$681.59	$1,145.44