Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $186.05 / $14,482.00	Facility		$114.48	$186.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $114.48 / $327.73	Professional		$66.53	$114.48	$327.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $260.91 / $748.07	Professional		$90.71	$260.91	$748.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $267.47 / $431.42	Facility		$228.88	$267.47	$431.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $277.43 / $444.73	Professional		$170.34	$277.43	$444.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $126.99 / $188.35	Facility		$82.69	$126.99	$188.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.23 / $1,957.00 / $4,514.00	Facility		$99.23	$1,957.00	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $396.19 / $1,374.00	Professional		$131.83	$396.19	$1,374.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $116.28 / $391.35	Professional		$54.98	$116.28	$391.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $126.99 / $188.35	Facility		$82.69	$126.99	$188.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $275.01 / $373.00	Professional		$178.10	$275.01	$373.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,586.95 / $3,586.95 / $3,586.95	Facility		$3,586.95	$3,586.95	$3,586.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $1,269.67 / $2,500.00	Professional		$172.67	$1,269.67	$2,500.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $469.74 / $469.74 / $469.74	Professional		$469.74	$469.74	$469.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $422.46 / $621.66 / $1,231.22	Professional		$422.46	$621.66	$1,231.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $361.41 / $835.37	Professional		$109.38	$361.41	$835.37