Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.05 / $710.65 / $14,482.00	Facility		$286.05	$710.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $286.05 / $934.80	Professional		$185.00	$286.05	$934.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $369.33 / $987.33	Professional		$185.20	$369.33	$987.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.53 / $590.75 / $952.86	Facility		$505.53	$590.75	$952.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.54 / $466.95 / $931.81	Professional		$232.54	$466.95	$931.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $274.69 / $378.90	Facility		$185.00	$274.69	$378.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $6,241.00 / $12,216.00	Facility		$212.66	$6,241.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $379.64 / $1,447.08	Professional		$196.69	$379.64	$1,447.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $185.53 / $436.24	Professional		$116.87	$185.53	$436.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $274.69 / $393.08	Facility		$185.00	$274.69	$393.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.40 / $454.61 / $678.64	Professional		$344.40	$454.61	$678.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.76 / $934.80 / $1,447.08	Professional		$299.76	$934.80	$1,447.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $888.04 / $888.04 / $888.04	Professional		$888.04	$888.04	$888.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $877.33 / $1,421.10 / $1,859.83	Professional		$877.33	$1,421.10	$1,859.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $373.92 / $819.35	Professional		$190.69	$373.92	$819.35