Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.32 / $758.09 / $14,482.00	Facility		$227.32	$758.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $227.32 / $597.42	Professional		$194.75	$227.32	$597.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.40 / $466.30 / $1,195.97	Professional		$193.40	$466.30	$1,195.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.07 / $627.61 / $962.76	Facility		$537.07	$627.61	$962.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.64 / $702.00 / $848.79	Professional		$251.64	$702.00	$848.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $227.85 / $408.25	Facility		$150.97	$227.85	$408.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.85 / $270.76 / $2,951.70	Facility		$173.85	$270.76	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.20 / $470.88 / $1,549.92	Professional		$204.20	$470.88	$1,549.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $306.93 / $514.54	Professional		$116.71	$306.93	$514.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.96 / $227.85 / $408.25	Facility		$142.96	$227.85	$408.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $388.20 / $517.73 / $858.67	Professional		$388.20	$517.73	$858.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $2,776.25 / $2,776.25	Facility		$240.68	$2,776.25	$2,776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $355.51 / $996.35 / $1,549.92	Professional		$355.51	$996.35	$1,549.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $754.12 / $754.12 / $754.12	Professional		$754.12	$754.12	$754.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $687.20 / $1,036.35 / $1,036.35	Professional		$687.20	$1,036.35	$1,036.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $403.11 / $902.87	Professional		$202.29	$403.11	$902.87