Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.08 / $2,671.68 / $17,368.84	Facility		$221.08	$2,671.68	$17,368.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $221.08 / $769.00	Professional		$178.50	$221.08	$769.00
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 $186.35 / $525.59 / $1,093.40	Professional		$186.35	$525.59	$1,093.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.76 / $620.23 / $1,000.42	Facility		$530.76	$620.23	$1,000.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.76 / $601.77 / $840.39	Professional		$303.76	$601.77	$840.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $247.50 / $673.74	Facility		$202.51	$247.50	$673.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.93 / $2,316.15 / $8,384.00	Facility		$219.93	$2,316.15	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $473.38 / $969.04	Professional		$217.21	$473.38	$969.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $224.60 / $446.27	Professional		$83.09	$224.60	$446.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $247.50 / $673.74	Facility		$202.51	$247.50	$673.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.10 / $576.16 / $725.93	Professional		$399.10	$576.16	$725.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $313.81 / $946.75 / $1,514.32	Professional		$313.81	$946.75	$1,514.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $503.57 / $503.57 / $503.57	Professional		$503.57	$503.57	$503.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.59 / $1,099.28 / $1,099.28	Professional		$489.59	$1,099.28	$1,099.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,280.00 / $9,134.00	Facility		$4,103.00	$7,280.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $490.86 / $836.36	Professional		$217.21	$490.86	$836.36