Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.60 / $424.85 / $14,482.00	Facility		$191.60	$424.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $219.15 / $802.49	Professional		$191.60	$219.15	$802.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $469.23 / $1,189.27	Professional		$207.36	$469.23	$1,189.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $621.29 / $953.07	Facility		$531.66	$621.29	$953.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.10 / $797.90 / $906.70	Professional		$326.10	$797.90	$906.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.60 / $268.77 / $424.85	Facility		$191.60	$268.77	$424.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.60 / $325.27 / $1,756.00	Facility		$191.60	$325.27	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.12 / $428.90 / $1,555.12	Professional		$239.12	$428.90	$1,555.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $261.74 / $556.21	Professional		$126.25	$261.74	$556.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $191.60 / $268.77 / $424.85	Facility		$191.60	$268.77	$424.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.69 / $509.26 / $760.22	Professional		$417.69	$509.26	$760.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.85 / $1,031.00 / $1,555.12	Professional		$400.85	$1,031.00	$1,555.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $725.73 / $725.73 / $725.73	Professional		$725.73	$725.73	$725.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $693.54 / $1,172.25 / $1,194.75	Professional		$693.54	$1,172.25	$1,194.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $239.12 / $412.40 / $927.90	Professional		$239.12	$412.40	$927.90