Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $531.90 / $14,482.00	Facility		$162.97	$531.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $240.58 / $538.34	Professional		$140.57	$240.58	$538.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $487.81 / $1,328.27	Professional		$194.57	$487.81	$1,328.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.38 / $826.63 / $1,268.07	Facility		$707.38	$826.63	$1,268.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $495.99 / $1,046.80	Professional		$200.03	$495.99	$1,046.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $257.22 / $482.48	Facility		$143.16	$257.22	$482.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $264.20 / $2,783.00	Facility		$143.16	$264.20	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $850.95 / $1,940.40	Professional		$255.12	$850.95	$1,940.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $230.46 / $553.74	Professional		$50.00	$230.46	$553.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.57 / $254.88 / $482.48	Facility		$141.57	$254.88	$482.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $322.35 / $555.84 / $876.68	Professional		$322.35	$555.84	$876.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $1,036.38 / $2,922.50	Facility		$244.35	$1,036.38	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.01 / $1,093.35 / $1,940.40	Professional		$233.01	$1,093.35	$1,940.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $534.49 / $534.49 / $981.49	Professional		$534.49	$534.49	$981.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $518.41 / $742.01 / $1,332.29	Professional		$518.41	$742.01	$1,332.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.51 / $510.22 / $1,114.24	Professional		$239.51	$510.22	$1,114.24