Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.39 / $825.14 / $14,482.00	Facility		$249.39	$825.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $249.39 / $382.07	Professional		$211.77	$249.39	$382.07
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 $226.82 / $460.41 / $1,386.01	Professional		$226.82	$460.41	$1,386.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.02 / $681.31 / $1,045.15	Facility		$583.02	$681.31	$1,045.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.64 / $817.58 / $929.06	Professional		$308.64	$817.58	$929.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $221.29 / $268.57 / $451.67	Facility		$221.29	$268.57	$451.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $317.55 / $4,377.80	Facility		$214.51	$317.55	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.75 / $491.26 / $1,689.04	Professional		$246.75	$491.26	$1,689.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $360.57 / $556.21	Professional		$70.00	$360.57	$556.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $269.24 / $455.03	Facility		$214.51	$269.24	$455.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.40 / $543.34 / $939.88	Professional		$407.40	$543.34	$939.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $3,590.15 / $3,590.15	Facility		$257.64	$3,590.15	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.62 / $1,121.59 / $1,689.04	Professional		$369.62	$1,121.59	$1,689.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $832.32 / $832.32 / $832.32	Professional		$832.32	$832.32	$832.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.42 / $1,134.42 / $1,134.42	Professional		$1,134.42	$1,134.42	$1,134.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.73 / $458.97 / $1,162.13	Professional		$242.73	$458.97	$1,162.13