Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.11 / $629.08 / $14,482.00	Facility		$222.11	$629.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $277.95 / $575.98	Professional		$181.86	$277.95	$575.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $602.44 / $1,576.24	Professional		$230.30	$602.44	$1,576.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.94 / $980.37 / $1,503.91	Facility		$838.94	$980.37	$1,503.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $622.70 / $1,287.56	Professional		$250.34	$622.70	$1,287.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.87 / $277.95 / $524.01	Facility		$163.87	$277.95	$524.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.41 / $301.89 / $2,783.00	Facility		$177.41	$301.89	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $929.46 / $2,275.28	Professional		$250.27	$929.46	$2,275.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $264.20 / $631.75	Professional		$50.00	$264.20	$631.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.26 / $266.79 / $524.01	Facility		$157.26	$266.79	$524.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $425.18 / $689.28 / $1,029.99	Professional		$425.18	$689.28	$1,029.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $1,380.12 / $2,321.48	Facility		$314.44	$1,380.12	$2,321.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $1,317.20 / $2,275.28	Professional		$293.95	$1,317.20	$2,275.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $738.75 / $738.75 / $1,181.99	Professional		$738.75	$738.75	$1,181.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $654.85 / $997.27 / $1,572.15	Professional		$654.85	$997.27	$1,572.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $613.82 / $1,537.64	Professional		$252.96	$613.82	$1,537.64