Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.73 / $330.00 / $14,482.00	Facility		$196.73	$330.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $211.51 / $468.01	Professional		$122.83	$211.51	$468.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $292.12 / $683.22	Professional		$153.13	$292.12	$683.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $289.50 / $448.24 / $1,030.54	Professional	50	$289.50	$448.24	$1,030.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.02 / $681.31 / $1,098.93	Facility		$583.02	$681.31	$1,098.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.33 / $452.39 / $1,019.70	Professional		$181.33	$452.39	$1,019.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $237.13 / $396.00	Facility		$145.38	$237.13	$396.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $306.30 / $5,639.00	Facility		$145.38	$306.30	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $483.94 / $2,282.42	Professional		$220.87	$483.94	$2,282.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $187.40 / $445.26	Professional		$116.44	$187.40	$445.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $236.08 / $412.83	Facility		$145.38	$236.08	$412.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $442.93 / $727.92	Professional		$256.10	$442.93	$727.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $920.82 / $920.82 / $920.82	Facility		$920.82	$920.82	$920.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.81 / $923.72 / $2,282.42	Professional		$228.81	$923.72	$2,282.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $559.96 / $1,271.90 / $2,110.46	Professional		$559.96	$1,271.90	$2,110.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $430.74 / $935.98	Professional		$220.87	$430.74	$935.98