Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.03 / $521.39 / $14,482.00	Facility		$208.03	$521.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.78 / $238.76 / $641.54	Professional		$178.78	$238.76	$641.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $521.94 / $1,394.39	Professional		$218.11	$521.94	$1,394.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.25 / $796.09 / $1,221.22	Facility		$681.25	$796.09	$1,221.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $527.64 / $1,061.10	Professional		$247.66	$527.64	$1,061.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $182.39 / $261.52 / $432.77	Facility		$182.39	$261.52	$432.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.62 / $278.08 / $1,198.00	Facility		$184.62	$278.08	$1,198.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.76 / $838.50 / $1,900.48	Professional		$258.76	$838.50	$1,900.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $368.54 / $591.77	Professional		$123.44	$368.54	$591.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $176.81 / $260.64 / $432.77	Facility		$176.81	$260.64	$432.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.01 / $601.07 / $865.33	Professional		$399.01	$601.07	$865.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $1,327.92 / $2,000.00	Facility		$317.00	$1,327.92	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $1,085.54 / $1,900.48	Professional		$289.39	$1,085.54	$1,900.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $679.49 / $679.49 / $949.96	Professional		$679.49	$679.49	$949.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $692.95 / $948.29 / $1,295.59	Professional		$692.95	$948.29	$1,295.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.67 / $530.72 / $1,097.80	Professional		$245.67	$530.72	$1,097.80