Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.47 / $433.88 / $14,482.00	Facility		$174.47	$433.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $245.24 / $614.33	Professional		$107.79	$245.24	$614.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $269.45 / $618.44	Professional		$158.61	$269.45	$618.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $256.74 / $404.19 / $927.66	Professional	50	$256.74	$404.19	$927.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.26 / $902.45 / $1,455.61	Facility		$772.26	$902.45	$1,455.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.48 / $499.75 / $1,360.20	Professional		$181.48	$499.75	$1,360.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $225.81 / $519.50	Facility		$107.55	$225.81	$519.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $395.10 / $1,789.00	Facility		$117.61	$395.10	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $599.00 / $2,098.40	Professional		$282.07	$599.00	$2,098.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $185.36 / $491.50	Professional		$28.95	$185.36	$491.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $240.31 / $519.50	Facility		$107.55	$240.31	$519.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $490.61 / $907.50	Professional		$253.44	$490.61	$907.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $818.34 / $818.34 / $818.34	Facility		$818.34	$818.34	$818.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $235.94 / $1,051.46 / $2,098.40	Professional		$235.94	$1,051.46	$2,098.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $497.10 / $1,133.52 / $2,774.48	Professional		$497.10	$1,133.52	$2,774.48
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 $254.90 / $508.10 / $1,189.15	Professional		$254.90	$508.10	$1,189.15