Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.35 / $647.66 / $14,482.00	Facility		$192.35	$647.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.01 / $192.35 / $576.59	Professional		$165.01	$192.35	$576.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $8,918.76	Facility		$2,740.00	$4,931.00	$8,918.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $394.56 / $1,017.51	Professional		$165.05	$394.56	$1,017.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.77 / $534.94 / $820.61	Facility		$457.77	$534.94	$820.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $588.15 / $722.23	Professional		$207.67	$588.15	$722.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $208.07 / $357.48	Facility		$168.39	$208.07	$357.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.30 / $233.39 / $7,318.00	Facility		$169.30	$233.39	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.12 / $401.74 / $1,316.64	Professional		$174.12	$401.74	$1,316.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $247.20 / $412.86	Professional		$85.00	$247.20	$412.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $210.81 / $357.48	Facility		$168.39	$210.81	$357.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.20 / $441.71 / $730.65	Professional		$331.20	$441.71	$730.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $7,929.30 / $7,929.30	Facility		$205.33	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $834.75 / $1,316.64	Professional		$298.05	$834.75	$1,316.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $636.32 / $636.32 / $636.32	Professional		$636.32	$636.32	$636.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $587.09 / $881.84 / $881.84	Professional		$587.09	$881.84	$881.84
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 $171.46 / $332.10 / $753.36	Professional		$171.46	$332.10	$753.36