Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.11 / $385.88 / $14,482.00	Facility		$174.11	$385.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $187.08 / $728.88	Professional		$174.11	$187.08	$728.88
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 $188.37 / $401.81 / $1,063.71	Professional		$188.37	$401.81	$1,063.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $564.41 / $865.84	Facility		$483.00	$564.41	$865.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.81 / $725.86 / $824.84	Professional		$295.81	$725.86	$824.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $174.11 / $229.96 / $407.88	Facility		$174.11	$229.96	$407.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.11 / $272.61 / $1,778.00	Facility		$174.11	$272.61	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.37 / $374.12 / $1,415.04	Professional		$216.37	$374.12	$1,415.04
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 $174.11 / $229.96 / $407.88	Facility		$174.11	$229.96	$407.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $462.53 / $690.46	Professional		$379.37	$462.53	$690.46
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 $364.67 / $935.30 / $1,415.04	Professional		$364.67	$935.30	$1,415.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $658.32 / $658.32 / $658.32	Professional		$658.32	$658.32	$658.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $571.13 / $973.47 / $1,086.91	Professional		$571.13	$973.47	$1,086.91
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 $206.07 / $345.50 / $847.38	Professional		$206.07	$345.50	$847.38