Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.69 / $765.63 / $14,482.00	Facility		$231.69	$765.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.24 / $295.91 / $725.60	Professional		$201.24	$295.91	$725.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,517.23	Facility		$5,169.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.43 / $475.27 / $1,344.76	Professional		$209.43	$475.27	$1,344.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.07 / $627.61 / $1,012.31	Facility		$537.07	$627.61	$1,012.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.20 / $737.98 / $860.14	Professional		$338.20	$737.98	$860.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $321.86 / $706.20	Facility		$218.27	$321.86	$706.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.48 / $371.78 / $9,011.04	Facility		$214.48	$371.78	$9,011.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $687.30 / $2,287.00	Professional		$258.39	$687.30	$2,287.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $360.57 / $556.21	Professional		$85.00	$360.57	$556.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $318.83 / $700.00	Facility		$218.27	$318.83	$700.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $395.40 / $521.92 / $988.50	Professional		$395.40	$521.92	$988.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $9,011.04 / $9,011.04	Facility		$251.53	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.04 / $1,561.16 / $2,287.00	Professional		$402.04	$1,561.16	$2,287.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $1,050.23 / $1,373.28	Professional		$584.23	$1,050.23	$1,373.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,695.00 / $9,953.00 / $12,062.00	Facility		$6,695.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $633.90 / $1,108.56	Professional		$244.80	$633.90	$1,108.56