Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $383.38 / $14,482.00	Facility		$223.16	$383.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $223.16 / $673.03	Professional		$161.57	$223.16	$673.03
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 $186.71 / $469.28 / $848.61	Professional		$186.71	$469.28	$848.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.20 / $562.32 / $907.00	Facility		$481.20	$562.32	$907.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $554.85 / $638.10	Professional		$291.60	$554.85	$638.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $261.10 / $386.38	Facility		$187.43	$261.10	$386.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.47 / $777.80 / $1,789.00	Facility		$204.47	$777.80	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.56 / $482.01 / $952.09	Professional		$224.56	$482.01	$952.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $260.86 / $486.99	Professional		$85.00	$260.86	$486.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $261.10 / $386.38	Facility		$187.43	$261.10	$386.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.95 / $541.98 / $684.77	Professional		$391.95	$541.98	$684.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $271.80 / $929.40 / $1,500.00	Professional		$271.80	$929.40	$1,500.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $346.92 / $346.92	Professional		$346.92	$346.92	$346.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $584.80 / $584.80	Professional		$348.39	$584.80	$584.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $224.56 / $448.12 / $814.62	Professional		$224.56	$448.12	$814.62