Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $472.70 / $14,482.00	Facility		$124.04	$472.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $131.41 / $469.14	Professional		$124.04	$131.41	$469.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $294.76 / $724.62	Professional		$131.47	$294.76	$724.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.71 / $386.46 / $513.64	Facility		$330.71	$386.46	$513.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $398.74 / $455.73	Professional		$159.19	$398.74	$455.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $163.88 / $297.70	Facility		$124.04	$163.88	$297.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.52 / $230.50 / $1,778.00	Facility		$126.52	$230.50	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $403.68 / $1,870.00	Professional		$158.09	$403.68	$1,870.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $128.57 / $309.30	Professional		$79.39	$128.57	$309.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $124.04 / $170.91 / $297.70	Facility		$124.04	$170.91	$297.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $334.08 / $536.09	Professional		$249.60	$334.08	$536.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.94 / $1,300.00 / $1,300.00	Facility		$240.94	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.16 / $658.70 / $1,870.00	Professional		$248.16	$658.70	$1,870.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $569.67 / $569.67 / $569.67	Professional		$569.67	$569.67	$569.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.65 / $706.17 / $755.69	Professional		$537.65	$706.17	$755.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $288.51 / $577.35	Professional		$156.91	$288.51	$577.35