Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.08 / $429.23 / $14,482.00	Facility		$231.08	$429.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.22 / $231.08 / $429.23	Professional		$196.22	$231.08	$429.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,483.00 / $5,962.00	Facility		$1,905.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.85 / $474.00 / $1,221.64	Professional		$209.85	$474.00	$1,221.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.66 / $631.82 / $969.23	Facility		$540.66	$631.82	$969.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.58 / $731.49 / $860.75	Professional		$276.58	$731.49	$860.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $206.91 / $279.22 / $420.00	Facility		$206.91	$279.22	$420.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $305.33 / $4,602.00	Facility		$202.58	$305.33	$4,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.54 / $491.40 / $1,798.05	Professional		$226.54	$491.40	$1,798.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $336.15 / $478.73	Professional		$85.00	$336.15	$478.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.89 / $270.36 / $420.00	Facility		$198.89	$270.36	$420.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $504.13 / $870.78	Professional		$378.00	$504.13	$870.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $1,713.25 / $1,713.25	Facility		$238.55	$1,713.25	$1,713.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $342.43 / $1,038.20 / $1,798.05	Professional		$342.43	$1,038.20	$1,798.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $770.32 / $770.32 / $770.32	Professional		$770.32	$770.32	$770.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $693.55 / $1,050.94 / $1,050.94	Professional		$693.55	$1,050.94	$1,050.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $478.82 / $936.98	Professional		$221.23	$478.82	$936.98