Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.73 / $832.80 / $14,482.00	Facility		$251.73	$832.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.67 / $251.73 / $385.62	Professional		$213.67	$251.73	$385.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.11 / $438.91 / $1,338.13	Professional		$223.11	$438.91	$1,338.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.33 / $688.68 / $1,056.46	Facility		$589.33	$688.68	$1,056.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.41 / $825.20 / $937.73	Professional		$311.41	$825.20	$937.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $268.57 / $459.16	Facility		$223.22	$268.57	$459.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.39 / $320.52 / $4,377.80	Facility		$216.39	$320.52	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.10 / $495.93 / $1,704.64	Professional		$249.10	$495.93	$1,704.64
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 $216.39 / $271.69 / $467.00	Facility		$216.39	$271.69	$467.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $548.14 / $948.65	Professional		$411.00	$548.14	$948.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $2,776.25 / $2,776.25	Facility		$259.94	$2,776.25	$2,776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $373.07 / $1,132.25 / $1,704.64	Professional		$373.07	$1,132.25	$1,704.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $839.31 / $839.31 / $839.31	Professional		$839.31	$839.31	$839.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.96 / $1,144.96 / $1,144.96	Professional		$1,144.96	$1,144.96	$1,144.96
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 $241.08 / $465.02 / $1,021.86	Professional		$241.08	$465.02	$1,021.86