Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.71 / $725.05 / $14,482.00	Facility		$216.71	$725.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $216.71 / $341.66	Professional		$182.84	$216.71	$341.66
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 $182.21 / $444.53 / $1,147.18	Professional		$182.21	$444.53	$1,147.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.95 / $607.60 / $932.07	Facility		$519.95	$607.60	$932.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.89 / $614.30 / $814.25	Professional		$237.89	$614.30	$814.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.86 / $252.00 / $403.71	Facility		$187.86	$252.00	$403.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.06 / $273.85 / $7,719.60	Facility		$185.06	$273.85	$7,719.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $433.78 / $1,464.16	Professional		$194.88	$433.78	$1,464.16
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 $187.10 / $246.67 / $403.71	Facility		$187.10	$246.67	$403.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.60 / $476.92 / $823.74	Professional		$357.60	$476.92	$823.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $7,909.30 / $7,909.30	Facility		$221.71	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.82 / $909.70 / $1,464.16	Professional		$275.82	$909.70	$1,464.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $704.34 / $704.34 / $704.34	Professional		$704.34	$704.34	$704.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $568.44 / $994.21 / $994.21	Professional		$568.44	$994.21	$994.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $367.36 / $821.00	Professional		$187.02	$367.36	$821.00