Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $1,894.00 / $14,482.00	Facility		$147.94	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $147.94 / $189.01	Professional		$122.41	$147.94	$189.01
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 $118.16 / $220.82 / $660.47	Professional		$118.16	$220.82	$660.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.37 / $347.50 / $533.07	Facility		$297.37	$347.50	$533.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $305.92 / $415.12	Professional		$145.91	$305.92	$415.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $156.72 / $372.56	Facility		$125.70	$156.72	$372.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.30 / $185.89 / $1,789.00	Facility		$127.30	$185.89	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.81 / $242.00 / $1,743.04	Professional		$132.81	$242.00	$1,743.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $138.98 / $310.44	Professional		$77.87	$138.98	$310.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $157.16 / $281.25	Facility		$125.76	$157.16	$281.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $292.64 / $483.85	Professional		$222.60	$292.64	$483.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $1,344.10 / $1,344.10	Facility		$142.06	$1,344.10	$1,344.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $1,357.50 / $1,743.04	Professional		$190.28	$1,357.50	$1,743.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $609.98 / $609.98 / $609.98	Professional		$609.98	$609.98	$609.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $751.27 / $806.48	Professional		$557.19	$751.27	$806.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,641.00 / $2,202.90	Facility		$1,008.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $220.55 / $524.39	Professional		$128.80	$220.55	$524.39