Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.81 / $416.36 / $14,482.00	Facility		$177.81	$416.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $238.80 / $536.74	Professional		$117.54	$238.80	$536.74
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 $161.66 / $270.08 / $620.73	Professional		$161.66	$270.08	$620.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $261.64 / $405.13 / $931.09	Professional	50	$261.64	$405.13	$931.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.02 / $862.43 / $1,391.07	Facility		$738.02	$862.43	$1,391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $507.28 / $1,272.13	Professional		$183.44	$507.28	$1,272.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $238.55 / $477.95	Facility		$106.68	$238.55	$477.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.23 / $369.75 / $1,789.00	Facility		$113.23	$369.75	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.87 / $557.79 / $2,383.42	Professional		$261.87	$557.79	$2,383.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $159.05 / $439.22	Professional		$26.31	$159.05	$439.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $238.55 / $477.95	Facility		$106.68	$238.55	$477.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $250.15 / $476.78 / $845.90	Professional		$250.15	$476.78	$845.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $828.78 / $828.78 / $828.78	Facility		$828.78	$828.78	$828.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.50 / $1,000.02 / $2,383.42	Professional		$239.50	$1,000.02	$2,383.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $493.07 / $1,150.66 / $2,647.39	Professional		$493.07	$1,150.66	$2,647.39
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 $265.62 / $515.26 / $1,106.93	Professional		$265.62	$515.26	$1,106.93