Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.28 / $196.28 / $17,823.00	Facility		$196.28	$196.28	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $196.28 / $532.84	Professional		$186.58	$196.28	$532.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $484.02 / $1,334.38	Professional		$192.21	$484.02	$1,334.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.08 / $542.30 / $874.73	Facility		$464.08	$542.30	$874.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.19 / $563.76 / $640.64	Professional		$286.19	$563.76	$640.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $185.47 / $227.75 / $362.51	Facility		$185.47	$227.75	$362.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.28 / $2,553.00 / $7,700.00	Facility		$196.28	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $447.37 / $968.75	Professional		$189.51	$447.37	$968.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $85.00 / $577.79	Professional		$30.97	$85.00	$577.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $185.47 / $227.75 / $362.51	Facility		$185.47	$227.75	$362.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $471.70 / $679.09	Professional		$257.02	$471.70	$679.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,572.30 / $1,572.30 / $1,572.30	Facility		$1,572.30	$1,572.30	$1,572.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.66 / $4,072.50 / $5,262.26	Professional		$268.66	$4,072.50	$5,262.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $913.20 / $913.20 / $913.20	Professional		$913.20	$913.20	$913.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.69 / $1,083.69 / $1,083.69	Professional		$1,083.69	$1,083.69	$1,083.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $536.03 / $867.97	Professional		$189.92	$536.03	$867.97