Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.13 / $740.81 / $14,482.00	Facility		$221.13	$740.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $221.13 / $485.97	Professional		$172.52	$221.13	$485.97
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 $186.72 / $453.61 / $1,172.27	Professional		$186.72	$453.61	$1,172.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $621.29 / $953.07	Facility		$531.66	$621.29	$953.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $627.53 / $832.06	Professional		$243.28	$627.53	$832.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $192.20 / $258.64 / $397.19	Facility		$192.20	$258.64	$397.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.99 / $273.38 / $7,318.00	Facility		$188.99	$273.38	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $439.83 / $1,496.64	Professional		$198.85	$439.83	$1,496.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $273.27 / $414.04	Professional		$85.00	$273.27	$414.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $190.84 / $251.87 / $397.19	Facility		$190.84	$251.87	$397.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.40 / $487.32 / $841.76	Professional		$365.40	$487.32	$841.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $7,909.30 / $7,909.30	Facility		$226.54	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.85 / $929.25 / $1,496.64	Professional		$281.85	$929.25	$1,496.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $720.35 / $720.35 / $720.35	Professional		$720.35	$720.35	$720.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $505.28 / $1,015.94 / $1,015.94	Professional		$505.28	$1,015.94	$1,015.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $455.43 / $838.65	Professional		$198.85	$455.43	$838.65