Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.57 / $541.66 / $3,119.00	Facility		$178.57	$541.66	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $266.82 / $588.91	Professional		$157.43	$266.82	$588.91
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 $262.27 / $599.83 / $1,652.78	Professional		$262.27	$599.83	$1,652.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $822.72 / $961.42 / $1,550.73	Facility		$822.72	$961.42	$1,550.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $515.15 / $1,078.51	Professional		$241.65	$515.15	$1,078.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.19 / $332.98 / $580.45	Facility		$169.19	$332.98	$580.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.57 / $450.25 / $6,150.00	Facility		$178.57	$450.25	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.79 / $997.85 / $2,398.00	Professional		$326.79	$997.85	$2,398.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $380.73 / $676.07	Professional		$85.00	$380.73	$676.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.90 / $332.98 / $580.45	Facility		$172.90	$332.98	$580.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $342.72 / $590.85 / $1,074.71	Professional		$342.72	$590.85	$1,074.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,219.11 / $1,219.11 / $1,219.11	Facility		$1,219.11	$1,219.11	$1,219.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.51 / $1,303.60 / $2,654.97	Professional		$224.51	$1,303.60	$2,654.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.93 / $354.93 / $755.07	Professional		$354.93	$354.93	$755.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $669.74 / $884.78 / $1,852.24	Professional		$669.74	$884.78	$1,852.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.48 / $915.56 / $1,304.21	Professional		$312.48	$915.56	$1,304.21