Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.11 / $993.16 / $14,482.00	Facility		$296.11	$993.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.35 / $293.50 / $757.29	Professional		$225.35	$293.50	$757.29
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 $243.00 / $586.02 / $1,554.55	Professional		$243.00	$586.02	$1,554.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.48 / $825.58 / $1,266.45	Facility		$706.48	$825.58	$1,266.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.86 / $888.47 / $1,103.43	Professional		$293.86	$888.47	$1,103.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $296.11 / $526.07	Facility		$190.00	$296.11	$526.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $330.45 / $4,792.00	Facility		$210.52	$330.45	$4,792.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.67 / $558.70 / $1,992.40	Professional		$247.67	$558.70	$1,992.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $428.08 / $663.45	Professional		$158.03	$428.08	$663.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $296.11 / $532.49	Facility		$181.00	$296.11	$532.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $500.40 / $667.37 / $1,116.28	Professional		$500.40	$667.37	$1,116.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $7,929.30 / $7,929.30	Facility		$310.24	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $438.98 / $1,261.05 / $1,992.40	Professional		$438.98	$1,261.05	$1,992.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $986.41 / $986.41 / $986.41	Professional		$986.41	$986.41	$986.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $805.70 / $1,347.26 / $1,347.26	Professional		$805.70	$1,347.26	$1,347.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $544.98 / $1,138.09	Professional		$248.68	$544.98	$1,138.09