Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $264.76 / $14,482.00	Facility		$164.25	$264.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $164.25 / $264.76	Professional		$85.68	$164.25	$264.76
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 $129.13 / $319.27 / $793.10	Professional		$129.13	$319.27	$793.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.81 / $385.41 / $621.65	Facility		$329.81	$385.41	$621.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.39 / $399.05 / $600.17	Professional		$242.39	$399.05	$600.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $206.00 / $345.40	Facility		$129.44	$206.00	$345.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $8,627.00 / $16,779.00	Facility		$149.50	$8,627.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $428.76 / $762.50	Professional		$160.56	$428.76	$762.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $205.27 / $411.77	Professional		$85.00	$205.27	$411.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $206.00 / $345.40	Facility		$129.44	$206.00	$345.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.50 / $411.52 / $536.49	Professional		$266.50	$411.52	$536.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,830.35 / $24,830.35 / $24,830.35	Facility		$24,830.35	$24,830.35	$24,830.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.36 / $655.32 / $1,698.99	Professional		$248.36	$655.32	$1,698.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $674.98 / $674.98	Professional		$674.98	$674.98	$674.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $894.17 / $894.17	Professional		$588.25	$894.17	$894.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.26 / $392.19 / $630.80	Professional		$156.26	$392.19	$630.80