Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.85 / $605.42 / $14,482.00	Facility		$179.85	$605.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $275.94 / $541.96	Professional		$156.28	$275.94	$541.96
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 $220.35 / $555.10 / $1,564.92	Professional		$220.35	$555.10	$1,564.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.14 / $978.26 / $1,500.68	Facility		$837.14	$978.26	$1,500.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.15 / $586.60 / $1,294.38	Professional		$249.15	$586.60	$1,294.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $159.90 / $279.64 / $529.77	Facility		$159.90	$279.64	$529.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.06 / $302.32 / $2,783.00	Facility		$160.06	$302.32	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.73 / $946.55 / $2,310.23	Professional		$288.73	$946.55	$2,310.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $253.92 / $699.93	Professional		$32.22	$253.92	$699.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $278.23 / $550.23	Facility		$158.88	$278.23	$550.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.35 / $674.35 / $1,086.77	Professional		$375.35	$674.35	$1,086.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $1,159.92 / $3,590.15	Facility		$283.12	$1,159.92	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $1,220.78 / $2,310.23	Professional		$312.00	$1,220.78	$2,310.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $601.59 / $601.59 / $1,193.82	Professional		$601.59	$601.59	$1,193.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $564.15 / $813.92 / $1,580.45	Professional		$564.15	$813.92	$1,580.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,242.00 / $6,438.00	Facility		$2,883.00	$3,242.00	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.54 / $529.96 / $1,271.89	Professional		$276.54	$529.96	$1,271.89