Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.82 / $318.29 / $14,482.00	Facility		$186.82	$318.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $186.82 / $537.83	Professional		$121.10	$186.82	$537.83
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 $150.35 / $398.30 / $893.23	Professional		$150.35	$398.30	$893.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $468.60 / $755.83	Facility		$401.00	$468.60	$755.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.11 / $474.50 / $685.44	Professional		$216.11	$474.50	$685.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.61 / $218.58 / $304.14	Facility		$155.61	$218.58	$304.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.94 / $916.00 / $1,789.00	Facility		$172.94	$916.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $492.92 / $1,056.36	Professional		$177.40	$492.92	$1,056.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $210.97 / $402.72	Professional		$85.00	$210.97	$402.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.75 / $218.58 / $304.14	Facility		$168.75	$218.58	$304.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $472.74 / $606.41	Professional		$306.14	$472.74	$606.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,922.50 / $2,922.50 / $2,922.50	Facility		$2,922.50	$2,922.50	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $744.30 / $1,158.00	Professional		$215.80	$744.30	$1,158.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.67 / $371.67 / $371.67	Professional		$371.67	$371.67	$371.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $361.01 / $926.06 / $926.06	Professional		$361.01	$926.06	$926.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $433.70 / $665.40	Professional		$160.24	$433.70	$665.40