Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $554.22 / $14,482.00	Facility		$86.25	$554.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $227.88 / $410.76	Professional		$76.67	$227.88	$410.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $351.61 / $1,364.65	Professional		$114.27	$351.61	$1,364.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.72 / $865.59 / $1,327.84	Facility		$740.72	$865.59	$1,327.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $322.39 / $1,137.91	Professional		$125.24	$322.39	$1,137.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $175.97 / $465.58	Facility		$73.56	$175.97	$465.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $230.05 / $4,614.00	Facility		$74.75	$230.05	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $812.85 / $2,016.88	Professional		$236.04	$812.85	$2,016.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $299.78 / $655.77	Professional		$85.00	$299.78	$655.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $174.16 / $465.58	Facility		$72.04	$174.16	$465.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $356.88 / $914.16	Professional		$180.73	$356.88	$914.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $498.99 / $7,929.30	Facility		$136.18	$498.99	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $1,035.27 / $2,016.88	Professional		$150.97	$1,035.27	$2,016.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $285.14 / $1,061.42	Professional		$285.14	$285.14	$1,061.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $393.61 / $1,389.41	Professional		$284.76	$393.61	$1,389.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.90 / $568.94 / $1,177.18	Professional		$240.90	$568.94	$1,177.18