Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $384.01 / $14,482.00	Facility		$236.51	$384.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $236.51 / $761.03	Professional		$159.62	$236.51	$761.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $551.05 / $1,156.33	Professional		$193.21	$551.05	$1,156.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $564.41 / $910.40	Facility		$483.00	$564.41	$910.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.73 / $576.16 / $769.72	Professional		$279.73	$576.16	$769.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $270.49 / $366.94	Facility		$187.74	$270.49	$366.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $6,564.00 / $13,918.00	Facility		$204.80	$6,564.00	$13,918.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $659.07 / $1,122.71	Professional		$231.25	$659.07	$1,122.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $283.55 / $391.39	Professional		$85.00	$283.55	$391.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $270.49 / $366.94	Facility		$187.74	$270.49	$366.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.45 / $555.04 / $785.86	Professional		$359.45	$555.04	$785.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,167.45 / $18,167.45 / $18,167.45	Facility		$18,167.45	$18,167.45	$18,167.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $963.55 / $1,408.56	Professional		$262.02	$963.55	$1,408.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.62 / $478.62 / $478.62	Professional		$478.62	$478.62	$478.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.44 / $1,124.44 / $1,124.44	Professional		$1,124.44	$1,124.44	$1,124.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $586.76 / $861.41	Professional		$230.20	$586.76	$861.41