Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $458.99 / $14,482.00	Facility		$118.30	$458.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $126.36 / $647.29	Professional		$118.30	$126.36	$647.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $234.26 / $561.23	Professional		$120.12	$234.26	$561.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.30 / $380.14 / $583.15	Facility		$325.30	$380.14	$583.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $387.39 / $440.21	Professional		$247.45	$387.39	$440.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.46 / $146.51 / $252.47	Facility		$114.46	$146.51	$252.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.87 / $4,191.55 / $6,312.00	Facility		$195.87	$4,191.55	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $229.38 / $524.22	Professional		$142.94	$229.38	$524.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $94.67 / $200.86	Professional		$59.53	$94.67	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.46 / $146.51 / $252.47	Facility		$114.46	$146.51	$252.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $293.04 / $437.45	Professional		$222.00	$293.04	$437.45
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
Security Health Facility/Professional Professional Modifier Low / Median / High Price $542.50 / $542.50 / $542.50	Professional		$542.50	$542.50	$542.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $656.75 / $686.08 / $686.08	Professional		$656.75	$686.08	$686.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $241.02 / $528.14	Professional		$142.94	$241.02	$528.14