Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.33 / $938.62 / $14,482.00	Facility		$284.33	$938.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $284.33 / $435.81	Professional		$237.95	$284.33	$435.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $8,436.00 / $15,579.70	Facility		$1,979.00	$8,436.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $583.27 / $1,505.71	Professional		$258.27	$583.27	$1,505.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.03 / $777.14 / $1,192.15	Facility		$665.03	$777.14	$1,192.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.76 / $901.95 / $1,058.16	Professional		$327.76	$901.95	$1,058.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.06 / $307.30 / $520.49	Facility		$245.06	$307.30	$520.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.06 / $361.59 / $4,821.00	Facility		$245.06	$361.59	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $560.71 / $1,924.16	Professional		$272.83	$560.71	$1,924.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $418.31 / $625.43	Professional		$70.00	$418.31	$625.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $245.06 / $314.16 / $529.00	Facility		$245.06	$314.16	$529.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.60 / $616.95 / $1,070.49	Professional		$462.60	$616.95	$1,070.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $15,338.55 / $15,338.55	Facility		$293.63	$15,338.55	$15,338.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $1,280.15 / $1,924.16	Professional		$405.60	$1,280.15	$1,924.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $949.42 / $949.42 / $949.42	Professional		$949.42	$949.42	$949.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.00 / $1,292.00 / $1,292.00	Professional		$1,292.00	$1,292.00	$1,292.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,827.00 / $6,072.00	Facility		$2,781.00	$3,827.00	$6,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $526.91 / $1,155.33	Professional		$275.89	$526.91	$1,155.33