Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $1,894.00 / $14,482.00	Facility		$217.00	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $193.63 / $292.37	Professional		$166.22	$193.63	$292.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,297.00 / $4,433.00	Facility		$1,139.00	$2,297.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $286.30 / $872.65	Professional		$161.94	$286.30	$872.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.65 / $514.92 / $789.92	Facility		$440.65	$514.92	$789.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $446.10 / $602.74	Professional		$172.90	$446.10	$602.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $207.67 / $416.05	Facility		$146.69	$207.67	$416.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.68 / $239.05 / $1,789.00	Facility		$154.68	$239.05	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $327.67 / $1,705.59	Professional		$140.90	$327.67	$1,705.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $160.92 / $373.45	Professional		$99.60	$160.92	$373.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.59 / $208.82 / $400.78	Facility		$147.59	$208.82	$400.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $393.61 / $713.11	Professional		$299.39	$393.61	$713.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $1,344.10 / $1,344.10	Facility		$193.75	$1,344.10	$1,344.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.07 / $950.25 / $1,705.59	Professional		$256.07	$950.25	$1,705.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $899.87 / $899.87 / $899.87	Professional		$899.87	$899.87	$899.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $790.26 / $1,120.44 / $1,188.53	Professional		$790.26	$1,120.44	$1,188.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,630.00 / $2,153.10	Facility		$1,034.00	$1,630.00	$2,153.10
United Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $263.64 / $745.42	Professional		$142.34	$263.64	$745.42