Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.61 / $524.97 / $14,482.00	Facility		$283.61	$524.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.71 / $283.61 / $777.86	Professional		$246.71	$283.61	$777.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.72 / $581.76 / $1,502.57	Professional		$256.72	$581.76	$1,502.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.21 / $764.50 / $1,172.76	Facility		$654.21	$764.50	$1,172.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.71 / $902.80 / $1,050.59	Professional		$349.71	$902.80	$1,050.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $326.64 / $562.00	Facility		$256.14	$326.64	$562.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.15 / $359.41 / $4,821.00	Facility		$251.15	$359.41	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.64 / $593.15 / $1,946.16	Professional		$280.64	$593.15	$1,946.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $418.31 / $634.49	Professional		$85.00	$418.31	$634.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $326.82 / $554.87	Facility		$256.14	$326.82	$554.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $652.16 / $1,062.83	Professional		$489.00	$652.16	$1,062.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $1,233.74 / $1,233.74	Facility		$310.51	$1,233.74	$1,233.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $1,281.34 / $1,946.16	Professional		$462.44	$1,281.34	$1,946.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $947.43 / $947.43 / $947.43	Professional		$947.43	$947.43	$947.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $926.27 / $1,282.77 / $1,282.77	Professional		$926.27	$1,282.77	$1,282.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.22 / $561.23 / $1,156.42	Professional		$278.22	$561.23	$1,156.42