Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $400.68 / $14,482.00	Facility		$186.27	$400.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $186.27 / $683.23	Professional		$161.82	$186.27	$683.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.72 / $534.54 / $1,348.63	Professional		$195.72	$534.54	$1,348.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $587.59 / $947.76	Facility		$502.83	$587.59	$947.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $603.10 / $807.13	Professional		$366.85	$603.10	$807.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $257.99 / $756.00	Facility		$186.27	$257.99	$756.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $2,781.00 / $6,150.00	Facility		$195.89	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.85 / $537.16 / $1,568.40	Professional		$232.85	$537.16	$1,568.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $246.86 / $549.67	Professional		$85.00	$246.86	$549.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $274.01 / $756.00	Facility		$186.27	$274.01	$756.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $608.24 / $870.48	Professional		$393.90	$608.24	$870.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,989.20 / $4,989.20 / $4,989.20	Facility		$4,989.20	$4,989.20	$4,989.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.35 / $1,783.35 / $4,091.27	Professional		$375.35	$1,783.35	$4,091.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $849.66 / $849.66 / $849.66	Professional		$849.66	$849.66	$849.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $889.14 / $1,068.13 / $1,114.14	Professional		$889.14	$1,068.13	$1,114.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.62 / $537.95 / $850.38	Professional		$232.62	$537.95	$850.38