Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.88 / $393.26 / $14,482.00	Facility		$243.88	$393.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $243.88 / $393.26	Professional		$135.08	$243.88	$393.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $478.19 / $1,186.08	Professional		$195.17	$478.19	$1,186.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.31 / $571.79 / $922.29	Facility		$489.31	$571.79	$922.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.48 / $593.26 / $784.11	Professional		$343.48	$593.26	$784.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $273.24 / $379.07	Facility		$192.26	$273.24	$379.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.36 / $2,803.00 / $7,868.00	Facility		$221.36	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $664.07 / $1,094.34	Professional		$234.70	$664.07	$1,094.34
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 $192.26 / $273.24 / $379.07	Facility		$192.26	$273.24	$379.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $608.24 / $797.62	Professional		$393.90	$608.24	$797.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $917.37 / $917.37 / $917.37	Facility		$917.37	$917.37	$917.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.56 / $969.65 / $1,462.40	Professional		$340.56	$969.65	$1,462.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.41 / $1,009.41 / $1,009.41	Professional		$1,009.41	$1,009.41	$1,009.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $865.75 / $1,329.45 / $1,329.45	Professional		$865.75	$1,329.45	$1,329.45
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 $232.72 / $677.55 / $1,094.34	Professional		$232.72	$677.55	$1,094.34