Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $313.77 / $14,482.00	Facility		$79.06	$313.77	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,096.72 / $3,096.72 / $3,096.72	Facility	50	$3,096.72	$3,096.72	$3,096.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $229.86 / $535.33	Professional		$79.06	$229.86	$535.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $238.52 / $551.69	Professional		$98.62	$238.52	$551.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.03 / $968.79 / $1,287.59	Facility		$829.03	$968.79	$1,287.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $364.19 / $1,389.06	Professional		$110.50	$364.19	$1,389.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $261.33 / $509.08	Facility		$82.48	$261.33	$509.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $332.27 / $1,455.00	Facility		$87.79	$332.27	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $1,087.97 / $2,719.44	Professional		$323.61	$1,087.97	$2,719.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.49 / $281.38 / $704.04	Professional		$169.49	$281.38	$704.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $261.33 / $509.08	Facility		$82.48	$261.33	$509.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $383.08 / $988.90	Professional		$186.10	$383.08	$988.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $206.31 / $559.28 / $2,922.50	Facility		$206.31	$559.28	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $1,147.84 / $2,719.44	Professional		$167.26	$1,147.84	$2,719.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $536.86 / $1,968.57	Professional		$272.05	$536.86	$1,968.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $738.09 / $1,360.42	Professional		$301.70	$738.09	$1,360.42