Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.52 / $249.48 / $14,482.00	Facility		$154.52	$249.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $154.52 / $437.37	Professional		$84.83	$154.52	$437.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $302.42 / $749.18	Professional		$122.69	$302.42	$749.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $363.30 / $585.98	Facility		$310.89	$363.30	$585.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.77 / $376.27 / $564.29	Professional		$221.77	$376.27	$564.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $121.97 / $194.11 / $1,260.00	Facility		$121.97	$194.11	$1,260.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $2,429.00 / $7,700.00	Facility		$141.47	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $459.19 / $722.93	Professional		$148.68	$459.19	$722.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $181.94 / $391.41	Professional		$85.00	$181.94	$391.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $121.97 / $194.11 / $1,260.00	Facility		$121.97	$194.11	$1,260.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $389.44 / $505.88	Professional		$252.20	$389.44	$505.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,989.02 / $1,989.02 / $1,989.02	Facility		$1,989.02	$1,989.02	$1,989.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $215.99 / $1,629.00 / $5,803.63	Professional		$215.99	$1,629.00	$5,803.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $637.60 / $637.60 / $637.60	Professional		$637.60	$637.60	$637.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $639.75 / $843.20 / $1,610.58	Professional		$639.75	$843.20	$1,610.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $456.73 / $687.01	Professional		$148.36	$456.73	$687.01