Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $574.95 / $14,482.00	Facility		$145.97	$574.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $324.24 / $596.78	Professional		$145.97	$324.24	$596.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $366.55 / $1,122.09	Professional		$181.73	$366.55	$1,122.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.45 / $1,081.46 / $1,437.35	Facility		$925.45	$1,081.46	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.43 / $648.49 / $1,534.45	Professional		$232.43	$648.49	$1,534.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.87 / $330.86 / $595.54	Facility		$148.87	$330.86	$595.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $367.20 / $1,455.00	Facility		$162.50	$367.20	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.17 / $1,288.45 / $2,554.96	Professional		$402.17	$1,288.45	$2,554.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.83 / $317.80 / $787.27	Professional		$191.83	$317.80	$787.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.81 / $330.86 / $648.95	Facility		$151.81	$330.86	$648.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.94 / $657.80 / $1,149.23	Professional		$356.94	$657.80	$1,149.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $404.33 / $908.35 / $2,515.78	Facility		$404.33	$908.35	$2,515.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $1,288.45 / $2,554.96	Professional		$349.62	$1,288.45	$2,554.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $618.47 / $961.43 / $2,022.00	Professional		$618.47	$961.43	$2,022.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $400.37 / $1,033.26 / $1,904.61	Professional		$400.37	$1,033.26	$1,904.61