Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.73 / $486.74 / $14,482.00	Facility		$219.73	$486.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.73 / $250.83 / $919.40	Professional		$219.73	$250.83	$919.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $538.11 / $1,362.12	Professional		$236.54	$538.11	$1,362.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.26 / $710.80 / $1,090.38	Facility		$608.26	$710.80	$1,090.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.73 / $914.69 / $1,039.43	Professional		$373.73	$914.69	$1,039.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.73 / $327.74 / $520.77	Facility		$219.73	$327.74	$520.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $411.39 / $1,756.00	Facility		$222.53	$411.39	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $488.64 / $2,785.41	Professional		$278.33	$488.64	$2,785.41
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 $219.73 / $327.39 / $520.77	Facility		$219.73	$327.39	$520.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.11 / $582.91 / $870.17	Professional		$478.11	$582.91	$870.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,639.37 / $2,639.37 / $2,639.37	Facility		$2,639.37	$2,639.37	$2,639.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $459.54 / $1,181.05 / $2,785.41	Professional		$459.54	$1,181.05	$2,785.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.23 / $831.23 / $831.23	Professional		$831.23	$831.23	$831.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.58 / $1,369.70 / $1,369.70	Professional		$794.58	$1,369.70	$1,369.70
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 $269.33 / $481.87 / $1,059.58	Professional		$269.33	$481.87	$1,059.58