Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $937.90 / $14,482.00	Facility		$155.44	$937.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $155.44 / $871.10	Professional		$128.53	$155.44	$871.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $385.82 / $788.73	Professional		$138.38	$385.82	$788.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.59 / $462.28 / $745.64	Facility		$395.59	$462.28	$745.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $454.39 / $530.54	Professional		$215.18	$454.39	$530.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $174.75 / $308.76	Facility		$154.72	$174.75	$308.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $1,957.00 / $4,514.00	Facility		$157.97	$1,957.00	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $326.31 / $723.91	Professional		$152.30	$326.31	$723.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $519.71	Professional		$50.00	$85.00	$519.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $174.75 / $308.76	Facility		$154.72	$174.75	$308.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $441.00 / $500.80	Professional		$286.64	$441.00	$500.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,649.80 / $2,649.80 / $2,649.80	Facility		$2,649.80	$2,649.80	$2,649.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $1,221.75 / $1,992.01	Professional		$221.65	$1,221.75	$1,992.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $196.94 / $196.94	Professional		$196.94	$196.94	$196.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $1,002.17 / $1,002.17	Professional		$559.54	$1,002.17	$1,002.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,068.00 / $4,985.00	Facility		$2,367.00	$3,068.00	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $420.76 / $607.20	Professional		$161.76	$420.76	$607.20