Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.49 / $363.51 / $14,482.00	Facility		$163.49	$363.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $191.76 / $647.86	Professional		$163.49	$191.76	$647.86
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 $176.73 / $400.37 / $1,016.23	Professional		$176.73	$400.37	$1,016.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.16 / $530.73 / $814.15	Facility		$454.16	$530.73	$814.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.50 / $684.05 / $777.33	Professional		$278.50	$684.05	$777.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.49 / $245.24 / $403.90	Facility		$163.49	$245.24	$403.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.17 / $321.39 / $5,887.00	Facility		$167.17	$321.39	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $360.02 / $3,853.67	Professional		$210.02	$360.02	$3,853.67
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 $163.49 / $245.24 / $403.90	Facility		$163.49	$245.24	$403.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $372.22 / $453.82 / $677.46	Professional		$372.22	$453.82	$677.46
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 $343.66 / $1,221.75 / $3,853.67	Professional		$343.66	$1,221.75	$3,853.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $620.15 / $620.15 / $620.15	Professional		$620.15	$620.15	$620.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $593.41 / $995.36 / $1,024.33	Professional		$593.41	$995.36	$1,024.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.77 / $348.97 / $794.38	Professional		$203.77	$348.97	$794.38