Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.75 / $466.47 / $14,482.00	Facility		$251.75	$466.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $251.75 / $689.34	Professional		$220.84	$251.75	$689.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.01 / $516.41 / $1,332.84	Professional		$228.01	$516.41	$1,332.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.22 / $679.20 / $1,041.92	Facility		$581.22	$679.20	$1,041.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.16 / $801.33 / $933.33	Professional		$310.16	$801.33	$933.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $228.05 / $314.50 / $515.48	Facility		$228.05	$314.50	$515.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.05 / $355.30 / $4,602.00	Facility		$228.05	$355.30	$4,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $538.33 / $4,334.00	Professional		$256.60	$538.33	$4,334.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $363.60 / $558.47	Professional		$85.00	$363.60	$558.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $228.05 / $314.50 / $511.54	Facility		$228.05	$314.50	$511.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $580.15 / $944.20	Professional		$435.00	$580.15	$944.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $1,300.00 / $1,300.00	Facility		$276.41	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $411.93 / $1,137.34 / $4,334.00	Professional		$411.93	$1,137.34	$4,334.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $840.42 / $840.42 / $840.42	Professional		$840.42	$840.42	$840.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $763.56 / $1,139.60 / $1,139.60	Professional		$763.56	$1,139.60	$1,139.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.36 / $480.68 / $1,030.44	Professional		$246.36	$480.68	$1,030.44