Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.32 / $432.95 / $14,482.00	Facility		$226.32	$432.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $226.32 / $702.12	Professional		$213.01	$226.32	$702.12
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 $206.20 / $518.53 / $1,185.66	Professional		$206.20	$518.53	$1,185.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.17 / $637.08 / $1,027.58	Facility		$545.17	$637.08	$1,027.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.70 / $656.37 / $873.32	Professional		$286.70	$656.37	$873.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $226.32 / $288.68 / $772.96	Facility		$226.32	$288.68	$772.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.32 / $772.96 / $8,783.00	Facility		$226.32	$772.96	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.55 / $502.71 / $1,109.11	Professional		$243.55	$502.71	$1,109.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $282.21 / $449.54	Professional		$99.34	$282.21	$449.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $288.68 / $772.96	Facility		$211.66	$288.68	$772.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $412.10 / $636.35 / $749.58	Professional		$412.10	$636.35	$749.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.51 / $1,023.55 / $1,782.00	Professional		$292.51	$1,023.55	$1,782.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $571.55 / $571.55 / $571.55	Professional		$571.55	$571.55	$571.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $605.74 / $1,016.22 / $1,016.22	Professional		$605.74	$1,016.22	$1,016.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.60 / $595.91 / $972.80	Professional		$232.60	$595.91	$972.80