Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.74 / $322.89 / $14,482.00	Facility		$200.74	$322.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $200.74 / $594.77	Professional		$118.33	$200.74	$594.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $392.72 / $979.64	Professional		$160.41	$392.72	$979.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.50 / $473.86 / $764.33	Facility		$405.50	$473.86	$764.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $489.53 / $705.63	Professional		$272.66	$489.53	$705.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $250.85 / $704.93	Facility		$157.86	$250.85	$704.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $8,627.00 / $17,200.00	Facility		$179.99	$8,627.00	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $516.21 / $938.20	Professional		$197.56	$516.21	$938.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $240.56 / $411.77	Professional		$85.00	$240.56	$411.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $250.85 / $704.93	Facility		$157.86	$250.85	$704.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $493.82 / $658.16	Professional		$319.80	$493.82	$658.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42,076.05 / $42,076.05 / $42,076.05	Facility		$42,076.05	$42,076.05	$42,076.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.01 / $816.40 / $3,340.19	Professional		$281.01	$816.40	$3,340.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $833.73 / $833.73 / $833.73	Professional		$833.73	$833.73	$833.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $733.19 / $1,096.99 / $1,096.99	Professional		$733.19	$1,096.99	$1,096.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $482.13 / $781.28	Professional		$190.94	$482.13	$781.28