Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.32 / $440.60 / $3,119.00	Facility		$187.32	$440.60	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $215.83 / $702.47	Professional		$187.32	$215.83	$702.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $534.73 / $1,338.73	Professional		$211.20	$534.73	$1,338.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.79 / $651.83 / $1,051.36	Facility		$557.79	$651.83	$1,051.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $579.71 / $775.48	Professional		$291.77	$579.71	$775.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $219.80 / $371.61	Facility		$187.14	$219.80	$371.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.32 / $310.33 / $8,384.00	Facility		$187.32	$310.33	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $669.01 / $1,386.67	Professional		$240.22	$669.01	$1,386.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $278.75 / $490.06	Professional		$100.07	$278.75	$490.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $219.80 / $371.61	Facility		$187.14	$219.80	$371.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.08 / $574.58 / $771.54	Professional		$408.08	$574.58	$771.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,084.59 / $1,084.59 / $1,084.59	Facility		$1,084.59	$1,084.59	$1,084.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $900.63 / $2,249.36	Professional		$258.33	$900.63	$2,249.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $944.50 / $944.50 / $1,089.28	Professional		$944.50	$944.50	$1,089.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $896.12 / $1,096.16 / $1,265.32	Professional		$896.12	$1,096.16	$1,265.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $581.95 / $1,011.42	Professional		$240.22	$581.95	$1,011.42