Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.95 / $410.85 / $14,482.00	Facility		$218.95	$410.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $218.95 / $998.00	Professional		$177.15	$218.95	$998.00
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 $188.30 / $521.73 / $1,083.59	Professional		$188.30	$521.73	$1,083.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.45 / $612.86 / $988.53	Facility		$524.45	$612.86	$988.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $596.54 / $830.37	Professional		$301.27	$596.54	$830.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $245.78 / $392.59	Facility		$200.86	$245.78	$392.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.95 / $4,103.00 / $8,384.00	Facility		$218.95	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $473.93 / $959.77	Professional		$219.12	$473.93	$959.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $239.62 / $514.54	Professional		$97.48	$239.62	$514.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.30 / $245.78 / $392.59	Facility		$201.30	$245.78	$392.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $395.85 / $582.30 / $720.02	Professional		$395.85	$582.30	$720.02
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 $311.10 / $947.85 / $2,635.00	Professional		$311.10	$947.85	$2,635.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $499.05 / $499.05 / $499.05	Professional		$499.05	$499.05	$499.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $473.33 / $1,089.82 / $1,089.82	Professional		$473.33	$1,089.82	$1,089.82
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 $213.72 / $560.95 / $830.79	Professional		$213.72	$560.95	$830.79