Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $340.92 / $14,482.00	Facility		$153.69	$340.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $165.29 / $607.60	Professional		$153.69	$165.29	$607.60
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 $166.16 / $376.41 / $954.72	Professional		$166.16	$376.41	$954.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $499.14 / $765.69	Facility		$427.13	$499.14	$765.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.52 / $641.64 / $729.14	Professional		$261.52	$641.64	$729.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $203.31 / $358.67	Facility		$153.69	$203.31	$358.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $262.50 / $1,778.00	Facility		$153.69	$262.50	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.90 / $332.29 / $3,201.00	Professional		$193.90	$332.29	$3,201.00
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 $153.69 / $203.31 / $358.67	Facility		$153.69	$203.31	$358.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $335.19 / $408.67 / $610.07	Professional		$335.19	$408.67	$610.07
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 $322.35 / $826.60 / $3,201.00	Professional		$322.35	$826.60	$3,201.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $582.61 / $582.61 / $582.61	Professional		$582.61	$582.61	$582.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $529.44 / $960.80 / $960.80	Professional		$529.44	$960.80	$960.80
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 $191.36 / $343.87 / $748.90	Professional		$191.36	$343.87	$748.90