Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $350.19 / $14,482.00	Facility		$216.81	$350.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $216.81 / $271.82	Professional		$124.43	$216.81	$271.82
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 $173.06 / $422.95 / $1,050.94	Professional		$173.06	$422.95	$1,050.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $508.61 / $820.38	Facility		$435.24	$508.61	$820.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.72 / $526.60 / $699.23	Professional		$295.72	$526.60	$699.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $242.28 / $337.98	Facility		$171.20	$242.28	$337.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.17 / $2,803.00 / $7,868.00	Facility		$197.17	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $600.84 / $971.43	Professional		$208.15	$600.84	$971.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $256.57 / $504.12	Professional		$85.00	$256.57	$504.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $242.28 / $337.98	Facility		$171.20	$242.28	$337.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $542.00 / $708.00	Professional		$351.00	$542.00	$708.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,852.92 / $1,852.92 / $1,852.92	Facility		$1,852.92	$1,852.92	$1,852.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.29 / $860.80 / $1,295.83	Professional		$302.29	$860.80	$1,295.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $894.39 / $894.39 / $894.39	Professional		$894.39	$894.39	$894.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $772.59 / $1,180.08 / $1,180.08	Professional		$772.59	$1,180.08	$1,180.08
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 $208.15 / $607.72 / $848.27	Professional		$208.15	$607.72	$848.27