Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.68 / $345.02 / $14,482.00	Facility		$203.68	$345.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $203.68 / $606.53	Professional		$135.08	$203.68	$606.53
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 $174.36 / $474.81 / $1,036.28	Professional		$174.36	$474.81	$1,036.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $505.45 / $815.28	Facility		$432.54	$505.45	$815.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.03 / $515.61 / $692.03	Professional		$249.03	$515.61	$692.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.67 / $240.10 / $396.43	Facility		$168.67	$240.10	$396.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.19 / $2,781.00 / $6,150.00	Facility		$184.19	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.71 / $574.01 / $1,225.55	Professional		$203.71	$574.01	$1,225.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $225.81 / $315.38	Professional		$79.08	$225.81	$315.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.67 / $240.10 / $396.43	Facility		$168.67	$240.10	$396.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $499.84 / $709.89	Professional		$323.70	$499.84	$709.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,493.00 / $4,493.00 / $4,493.00	Facility		$4,493.00	$4,493.00	$4,493.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.49 / $863.50 / $1,553.70	Professional		$234.49	$863.50	$1,553.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $427.27 / $427.27	Professional		$427.27	$427.27	$427.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $448.64 / $1,006.27 / $1,006.27	Professional		$448.64	$1,006.27	$1,006.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,409.38 / $5,865.00	Facility		$2,960.00	$4,409.38	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.01 / $529.51 / $771.97	Professional		$194.01	$529.51	$771.97