Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.95 / $551.04 / $14,482.00	Facility		$167.95	$551.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $167.95 / $257.89	Professional		$141.19	$167.95	$257.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,389.00 / $10,382.04	Facility		$1,979.00	$6,389.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $344.51 / $884.71	Professional		$151.33	$344.51	$884.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.58 / $451.75 / $693.00	Facility		$386.58	$451.75	$693.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.17 / $527.07 / $616.44	Professional		$199.17	$527.07	$616.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $181.18 / $301.02	Facility		$145.94	$181.18	$301.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $211.86 / $4,821.00	Facility		$145.94	$211.86	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $327.67 / $1,123.35	Professional		$164.84	$327.67	$1,123.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $204.64 / $309.30	Professional		$70.00	$204.64	$309.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $182.32 / $308.20	Facility		$145.94	$182.32	$308.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $363.29 / $623.62	Professional		$272.39	$363.29	$623.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $6,482.70 / $6,482.70	Facility		$172.15	$6,482.70	$6,482.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.03 / $748.10 / $1,123.35	Professional		$240.03	$748.10	$1,123.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $557.85 / $557.85 / $557.85	Professional		$557.85	$557.85	$557.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $498.27 / $752.66 / $752.66	Professional		$498.27	$752.66	$752.66
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 $160.24 / $311.52 / $677.78	Professional		$160.24	$311.52	$677.78