Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.49 / $405.97 / $14,482.00	Facility		$240.49	$405.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $240.49 / $802.40	Professional		$166.79	$240.49	$802.40
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 $204.07 / $570.55 / $1,226.25	Professional		$204.07	$570.55	$1,226.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.13 / $594.96 / $959.65	Facility		$509.13	$594.96	$959.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.72 / $608.33 / $812.89	Professional		$295.72	$608.33	$812.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.47 / $281.37 / $387.92	Facility		$198.47	$281.37	$387.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.82 / $6,564.00 / $13,918.00	Facility		$216.82	$6,564.00	$13,918.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.23 / $696.21 / $1,188.30	Professional		$245.23	$696.21	$1,188.30
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 $198.47 / $281.37 / $387.92	Facility		$198.47	$281.37	$387.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.90 / $588.16 / $831.77	Professional		$380.90	$588.16	$831.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,067.15 / $18,067.15 / $18,067.15	Facility		$18,067.15	$18,067.15	$18,067.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $276.66 / $1,021.80 / $1,487.52	Professional		$276.66	$1,021.80	$1,487.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $503.76 / $503.76 / $503.76	Professional		$503.76	$503.76	$503.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.16 / $1,187.16 / $1,187.16	Professional		$1,187.16	$1,187.16	$1,187.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.14 / $696.21 / $932.07	Professional		$244.14	$696.21	$932.07