Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.56 / $326.39 / $14,482.00	Facility		$175.56	$326.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $175.56 / $481.65	Professional		$151.40	$175.56	$481.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $360.12 / $931.86	Professional		$158.91	$360.12	$931.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.41 / $474.92 / $728.53	Facility		$406.41	$474.92	$728.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $559.16 / $651.94	Professional		$211.34	$559.16	$651.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.52 / $201.66 / $315.68	Facility		$158.52	$201.66	$315.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.46 / $222.47 / $1,455.00	Facility		$155.46	$222.47	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $369.00 / $1,999.29	Professional		$179.18	$369.00	$1,999.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $249.66 / $411.77	Professional		$85.00	$249.66	$411.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $158.52 / $202.48 / $315.68	Facility		$158.52	$202.48	$315.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $405.70 / $659.53	Professional		$304.20	$405.70	$659.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $1,300.00 / $1,300.00	Facility		$192.58	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.87 / $793.65 / $1,999.29	Professional		$287.87	$793.65	$1,999.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $587.58 / $587.58 / $587.58	Professional		$587.58	$587.58	$587.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $796.01 / $796.01	Professional		$527.29	$796.01	$796.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $334.88 / $716.27	Professional		$176.84	$334.88	$716.27