Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.51 / $426.31 / $14,482.00	Facility		$256.51	$426.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $256.51 / $759.78	Professional		$193.20	$256.51	$759.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $547.54 / $1,239.31	Professional		$195.96	$547.54	$1,239.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.69 / $652.88 / $1,053.07	Facility		$558.69	$652.88	$1,053.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.31 / $647.15 / $876.18	Professional		$282.31	$647.15	$876.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $227.36 / $300.12 / $529.86	Facility		$227.36	$300.12	$529.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.12 / $529.86 / $6,312.00	Facility		$228.12	$529.86	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.06 / $611.03 / $1,390.97	Professional		$230.06	$611.03	$1,390.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.47 / $278.25 / $443.01	Professional		$98.47	$278.25	$443.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.42 / $300.12 / $529.86	Facility		$208.42	$300.12	$529.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $404.30 / $622.00 / $781.22	Professional		$404.30	$622.00	$781.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $980.05 / $1,880.00	Professional		$294.32	$980.05	$1,880.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $515.92 / $515.92 / $515.92	Professional		$515.92	$515.92	$515.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.33 / $1,262.95 / $1,262.95	Professional		$402.33	$1,262.95	$1,262.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,912.00 / $5,865.00	Facility		$2,781.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $595.11 / $893.99	Professional		$228.72	$595.11	$893.99