Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $466.07 / $14,482.00	Facility		$180.68	$466.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.61 / $207.79 / $466.07	Professional		$153.61	$207.79	$466.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $8,436.00 / $15,579.70	Facility		$1,979.00	$8,436.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $451.78 / $1,240.44	Professional		$188.40	$451.78	$1,240.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.65 / $706.58 / $1,083.92	Facility		$604.65	$706.58	$1,083.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $455.47 / $938.60	Professional		$207.50	$455.47	$938.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $156.52 / $233.62 / $380.39	Facility		$156.52	$233.62	$380.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $248.46 / $3,036.00	Facility		$156.72	$248.46	$3,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.55 / $726.33 / $1,672.72	Professional		$223.55	$726.33	$1,672.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $357.02 / $522.59	Professional		$123.44	$357.02	$522.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $232.59 / $380.39	Facility		$155.88	$232.59	$380.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.48 / $519.86 / $765.39	Professional		$344.48	$519.86	$765.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $1,139.04 / $16,547.20	Facility		$270.70	$1,139.04	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $960.21 / $1,672.72	Professional		$250.52	$960.21	$1,672.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $592.84 / $592.84 / $843.26	Professional		$592.84	$592.84	$843.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $572.95 / $820.97 / $1,146.00	Professional		$572.95	$820.97	$1,146.00
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 $207.14 / $445.06 / $1,152.85	Professional		$207.14	$445.06	$1,152.85