Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.56 / $380.52 / $14,482.00	Facility		$171.56	$380.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.56 / $206.23 / $718.76	Professional		$171.56	$206.23	$718.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $420.15 / $1,060.34	Professional		$184.88	$420.15	$1,060.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.89 / $554.95 / $851.30	Facility		$474.89	$554.95	$851.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $716.63 / $814.35	Professional		$291.13	$716.63	$814.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $171.56 / $257.33 / $437.57	Facility		$171.56	$257.33	$437.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.40 / $336.64 / $1,756.00	Facility		$177.40	$336.64	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $381.30 / $3,485.49	Professional		$222.32	$381.30	$3,485.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $215.84 / $482.46	Professional		$108.15	$215.84	$482.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $171.56 / $257.33 / $437.57	Facility		$171.56	$257.33	$437.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.75 / $491.04 / $733.03	Professional		$402.75	$491.04	$733.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,272.08 / $4,272.08 / $4,272.08	Facility		$4,272.08	$4,272.08	$4,272.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.02 / $915.45 / $3,485.49	Professional		$360.02	$915.45	$3,485.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $647.08 / $647.08 / $647.08	Professional		$647.08	$647.08	$647.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $621.17 / $1,062.94 / $1,073.05	Professional		$621.17	$1,062.94	$1,073.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $369.72 / $829.40	Professional		$219.71	$369.72	$829.40