Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.61 / $455.85 / $14,482.00	Facility		$264.61	$455.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $264.61 / $738.09	Professional		$184.12	$264.61	$738.09
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 $214.55 / $556.83 / $971.99	Professional		$214.55	$556.83	$971.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.21 / $668.67 / $1,078.55	Facility		$572.21	$668.67	$1,078.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.85 / $658.66 / $759.98	Professional		$337.85	$658.66	$759.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $222.86 / $292.20 / $442.15	Facility		$222.86	$292.20	$442.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $777.80 / $2,043.20	Facility		$243.12	$777.80	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $515.12 / $1,092.85	Professional		$256.70	$515.12	$1,092.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $303.00 / $583.78	Professional		$85.00	$303.00	$583.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $222.86 / $292.20 / $442.15	Facility		$222.86	$292.20	$442.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $466.05 / $644.44 / $814.23	Professional		$466.05	$644.44	$814.23
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 $322.66 / $1,099.55 / $3,692.24	Professional		$322.66	$1,099.55	$3,692.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $411.64 / $411.64 / $411.64	Professional		$411.64	$411.64	$411.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $409.05 / $694.25 / $694.25	Professional		$409.05	$694.25	$694.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $637.64 / $955.18	Professional		$250.91	$637.64	$955.18