Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.55 / $674.76 / $14,482.00	Facility		$198.55	$674.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $198.55 / $623.72	Professional		$165.84	$198.55	$623.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $414.36 / $947.89	Professional		$183.78	$414.36	$947.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.99 / $553.89 / $736.17	Facility		$473.99	$553.89	$736.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $574.39 / $652.71	Professional		$207.82	$574.39	$652.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $234.89 / $406.65	Facility		$186.00	$234.89	$406.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.72 / $329.70 / $1,820.00	Facility		$191.72	$329.70	$1,820.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $529.10 / $1,376.72	Professional		$217.24	$529.10	$1,376.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $192.46 / $465.51	Professional		$117.74	$192.46	$465.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $186.00 / $235.90 / $406.65	Facility		$186.00	$235.90	$406.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $361.40 / $483.72 / $631.39	Professional		$361.40	$483.72	$631.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $343.58 / $3,930.50 / $3,930.50	Facility		$343.58	$3,930.50	$3,930.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $282.98 / $908.85 / $1,376.72	Professional		$282.98	$908.85	$1,376.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $503.71 / $503.71 / $503.71	Professional		$503.71	$503.71	$503.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $523.73 / $889.24 / $889.24	Professional		$523.73	$889.24	$889.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $213.71 / $419.16 / $825.00	Professional		$213.71	$419.16	$825.00