Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.88 / $482.40 / $14,482.00	Facility		$144.88	$482.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $270.27 / $390.03	Professional		$128.01	$270.27	$390.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $494.54 / $1,537.72	Professional		$191.93	$494.54	$1,537.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.32 / $955.10 / $1,465.15	Facility		$817.32	$955.10	$1,465.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.27 / $486.28 / $1,264.33	Professional		$217.27	$486.28	$1,264.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.33 / $276.47 / $509.69	Facility		$132.33	$276.47	$509.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.41 / $297.12 / $3,242.00	Facility		$131.41	$297.12	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.69 / $917.24 / $2,249.19	Professional		$323.69	$917.24	$2,249.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $431.76 / $673.83	Professional		$85.00	$431.76	$673.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.33 / $276.47 / $509.69	Facility		$132.33	$276.47	$509.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $571.66 / $1,023.18	Professional		$293.42	$571.66	$1,023.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $920.10 / $920.10	Facility		$224.04	$920.10	$920.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.84 / $981.78 / $2,249.19	Professional		$252.84	$981.78	$2,249.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $483.26 / $1,153.09	Professional		$483.26	$483.26	$1,153.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $659.19 / $936.50 / $1,543.76	Professional		$659.19	$936.50	$1,543.76
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 $301.05 / $605.16 / $1,436.82	Professional		$301.05	$605.16	$1,436.82