Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.16 / $491.49 / $9,245.00	Facility		$254.16	$491.49	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $263.30 / $954.00	Professional		$176.95	$263.30	$954.00
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 $211.92 / $528.45 / $914.12	Professional		$211.92	$528.45	$914.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.29 / $742.39 / $1,197.44	Facility		$635.29	$742.39	$1,197.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $633.70 / $835.81	Professional		$336.30	$633.70	$835.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $296.69 / $484.74	Facility		$232.04	$296.69	$484.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $441.00 / $8,384.00	Facility		$232.04	$441.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.23 / $629.83 / $1,614.08	Professional		$263.23	$629.83	$1,614.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $366.06 / $596.17	Professional		$129.06	$366.06	$596.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $297.37 / $484.74	Facility		$232.04	$297.37	$484.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.61 / $623.60 / $852.84	Professional		$501.61	$623.60	$852.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,296.84 / $1,296.84 / $1,296.84	Facility		$1,296.84	$1,296.84	$1,296.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.43 / $1,023.08 / $2,500.00	Professional		$310.43	$1,023.08	$2,500.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $396.05 / $396.05 / $451.40	Professional		$396.05	$396.05	$451.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $405.38 / $667.94 / $758.23	Professional		$405.38	$667.94	$758.23
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 $256.88 / $593.37 / $955.75	Professional		$256.88	$593.37	$955.75