Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.99 / $396.07 / $14,482.00	Facility		$232.99	$396.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $232.99 / $668.72	Professional		$151.02	$232.99	$668.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.41 / $523.41 / $1,116.96	Professional		$187.41	$523.41	$1,116.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.32 / $582.33 / $939.27	Facility		$498.32	$582.33	$939.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.79 / $589.62 / $801.38	Professional		$269.79	$589.62	$801.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $193.63 / $272.60 / $556.50	Facility		$193.63	$272.60	$556.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.22 / $4,103.00 / $8,783.00	Facility		$215.22	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $615.91 / $1,320.92	Professional		$221.98	$615.91	$1,320.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $263.23 / $402.72	Professional		$85.00	$263.23	$402.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.24 / $284.50 / $556.50	Facility		$211.24	$284.50	$556.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.90 / $588.16 / $757.73	Professional		$380.90	$588.16	$757.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,133.70 / $9,133.70 / $9,133.70	Facility		$9,133.70	$9,133.70	$9,133.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $930.70 / $3,317.06	Professional		$268.16	$930.70	$3,317.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $464.43 / $464.43 / $464.43	Professional		$464.43	$464.43	$464.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $449.23 / $1,150.70 / $1,150.70	Professional		$449.23	$1,150.70	$1,150.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $541.76 / $832.05	Professional		$217.40	$541.76	$832.05