Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.33 / $463.12 / $14,482.00	Facility		$159.33	$463.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $220.38 / $416.18	Professional		$139.22	$220.38	$416.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $446.84 / $1,215.44	Professional		$193.50	$446.84	$1,215.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.05 / $712.90 / $1,093.60	Facility		$610.05	$712.90	$1,093.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.26 / $471.44 / $945.34	Professional		$197.26	$471.44	$945.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $216.59 / $389.60	Facility		$125.00	$216.59	$389.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $228.18 / $2,783.00	Facility		$130.32	$228.18	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.19 / $788.15 / $1,685.04	Professional		$244.19	$788.15	$1,685.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $324.69 / $506.17	Professional		$117.82	$324.69	$506.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $213.10 / $388.11	Facility		$120.75	$213.10	$388.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.22 / $501.30 / $761.99	Professional		$309.22	$501.30	$761.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $997.14 / $2,598.00	Facility		$235.34	$997.14	$2,598.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.75 / $967.10 / $1,685.04	Professional		$228.75	$967.10	$1,685.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $522.04 / $868.88	Professional		$522.04	$522.04	$868.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $557.15 / $748.19 / $1,154.24	Professional		$557.15	$748.19	$1,154.24
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 $227.79 / $455.58 / $1,031.89	Professional		$227.79	$455.58	$1,031.89