Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $270.33 / $17,823.00	Facility		$270.33	$270.33	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.85 / $270.33 / $1,632.38	Professional		$231.85	$270.33	$1,632.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.63 / $554.53 / $1,459.35	Professional		$230.63	$554.53	$1,459.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.77 / $726.59 / $1,114.60	Facility		$621.77	$726.59	$1,114.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.02 / $880.32 / $1,000.36	Professional		$374.02	$880.32	$1,000.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $231.85 / $291.10 / $500.00	Facility		$231.85	$291.10	$500.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $329.13 / $5,728.00	Facility		$237.17	$329.13	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.38 / $482.72 / $4,385.00	Professional		$234.38	$482.72	$4,385.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $85.00 / $566.61	Professional		$41.78	$85.00	$566.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $231.85 / $295.77 / $500.00	Facility		$231.85	$295.77	$500.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.41 / $630.25 / $907.34	Professional		$343.41	$630.25	$907.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $3,884.00 / $3,884.00	Facility		$297.22	$3,884.00	$3,884.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $435.27 / $4,385.00 / $4,887.00	Professional		$435.27	$4,385.00	$4,887.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $873.49 / $873.49 / $873.49	Professional		$873.49	$873.49	$873.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.71 / $1,241.71 / $1,241.71	Professional		$1,241.71	$1,241.71	$1,241.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $435.56 / $993.97	Professional		$228.21	$435.56	$993.97