Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $378.86 / $14,482.00	Facility		$180.22	$378.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $180.22 / $683.23	Professional		$159.10	$180.22	$683.23
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 $191.65 / $534.70 / $1,327.85	Professional		$191.65	$534.70	$1,327.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.69 / $557.04 / $898.51	Facility		$476.69	$557.04	$898.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.87 / $572.95 / $762.53	Professional		$346.87	$572.95	$762.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $215.53 / $362.02	Facility		$180.22	$215.53	$362.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.22 / $7,590.00 / $15,702.00	Facility		$185.22	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.64 / $476.19 / $1,076.27	Professional		$228.64	$476.19	$1,076.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $238.70 / $478.73	Professional		$85.00	$238.70	$478.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $215.53 / $362.02	Facility		$180.22	$215.53	$362.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $362.05 / $559.05 / $804.09	Professional		$362.05	$559.05	$804.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,266.70 / $14,266.70 / $14,266.70	Facility		$14,266.70	$14,266.70	$14,266.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $955.20 / $43,989.26	Professional		$356.58	$955.20	$43,989.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $785.29 / $1,014.67 / $1,014.67	Professional		$785.29	$1,014.67	$1,014.67
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $520.47 / $837.23	Professional		$199.51	$520.47	$837.23