Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.33 / $534.15 / $14,482.00	Facility		$199.33	$534.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $238.86 / $443.07	Professional		$167.28	$238.86	$443.07
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 $221.15 / $502.98 / $1,417.84	Professional		$221.15	$502.98	$1,417.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.07 / $819.26 / $1,256.76	Facility		$701.07	$819.26	$1,256.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.48 / $540.55 / $1,088.65	Professional		$241.48	$540.55	$1,088.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $258.39 / $442.78	Facility		$171.40	$258.39	$442.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $273.75 / $1,198.00	Facility		$172.70	$273.75	$1,198.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $856.49 / $2,401.00	Professional		$263.81	$856.49	$2,401.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $188.51 / $511.19	Professional		$32.22	$188.51	$511.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $255.81 / $442.78	Facility		$171.40	$255.81	$442.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $397.47 / $594.61 / $884.63	Professional		$397.47	$594.61	$884.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $1,271.76 / $2,000.00	Facility		$302.79	$1,271.76	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $1,113.71 / $2,401.00	Professional		$275.45	$1,113.71	$2,401.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $650.41 / $972.20	Professional		$650.41	$650.41	$972.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $620.23 / $908.33 / $1,329.24	Professional		$620.23	$908.33	$1,329.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $261.83 / $525.28 / $1,121.35	Professional		$261.83	$525.28	$1,121.35