Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.10 / $186.10 / $14,482.00	Facility		$186.10	$186.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $186.10 / $250.00	Professional		$117.65	$186.10	$250.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $239.11 / $599.21	Professional		$123.05	$239.11	$599.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $219.03 / $353.29	Facility		$187.43	$219.03	$353.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $224.21 / $287.22	Professional		$115.90	$224.21	$287.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.93 / $126.61 / $223.32	Facility		$79.93	$126.61	$223.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.93 / $1,100.00 / $2,043.20	Facility		$79.93	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $133.72 / $448.77	Professional		$68.78	$133.72	$448.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $194.50	Professional		$55.00	$70.00	$194.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.93 / $128.10 / $250.00	Facility		$79.93	$128.10	$250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.32 / $299.74 / $427.20	Professional		$163.32	$299.74	$427.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $908.00 / $908.00	Facility		$908.00	$908.00	$908.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.91 / $569.29 / $935.00	Professional		$228.91	$569.29	$935.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $328.37 / $328.37 / $328.37	Professional		$328.37	$328.37	$328.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.41 / $696.21 / $696.21	Professional		$363.41	$696.21	$696.21
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 $68.78 / $140.75 / $286.64	Professional		$68.78	$140.75	$286.64