Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $327.72 / $14,482.00	Facility		$88.92	$327.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $239.85 / $364.88	Professional		$79.81	$239.85	$364.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $366.78 / $1,430.71	Professional		$117.80	$366.78	$1,430.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $777.67 / $908.76 / $1,394.07	Facility		$777.67	$908.76	$1,394.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $332.94 / $1,194.75	Professional		$130.49	$332.94	$1,194.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $172.25 / $464.49	Facility		$80.53	$172.25	$464.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $220.50 / $2,776.25	Facility		$80.98	$220.50	$2,776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.68 / $841.57 / $2,121.04	Professional		$244.68	$841.57	$2,121.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $306.69 / $665.79	Professional		$85.00	$306.69	$665.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $172.25 / $464.49	Facility		$77.65	$172.25	$464.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $364.68 / $965.26	Professional		$191.18	$364.68	$965.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $532.64 / $2,776.25	Facility		$143.87	$532.64	$2,776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $1,104.88 / $2,121.04	Professional		$155.91	$1,104.88	$2,121.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $294.70 / $1,119.83	Professional		$294.70	$294.70	$1,119.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $296.50 / $730.75 / $1,458.75	Professional		$296.50	$730.75	$1,458.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $516.36 / $1,165.04	Professional		$239.20	$516.36	$1,165.04