Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $382.93 / $14,482.00	Facility		$172.54	$382.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $195.85 / $682.46	Professional		$172.54	$195.85	$682.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $421.54 / $1,067.08	Professional		$185.95	$421.54	$1,067.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.59 / $558.11 / $856.15	Facility		$477.59	$558.11	$856.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $721.14 / $819.48	Professional		$292.77	$721.14	$819.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $258.81 / $439.62	Facility		$172.54	$258.81	$439.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.21 / $324.38 / $5,887.00	Facility		$178.21	$324.38	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $370.38 / $3,059.50	Professional		$221.05	$370.38	$3,059.50
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 $172.54 / $258.81 / $439.62	Facility		$172.54	$258.81	$439.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $405.35 / $494.21 / $737.76	Professional		$405.35	$494.21	$737.76
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 $362.30 / $1,018.13 / $3,059.50	Professional		$362.30	$1,018.13	$3,059.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $651.19 / $651.19 / $651.19	Professional		$651.19	$651.19	$651.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $611.14 / $1,020.50 / $1,079.84	Professional		$611.14	$1,020.50	$1,079.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $375.91 / $834.74	Professional		$216.90	$375.91	$834.74