Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.87 / $484.31 / $14,482.00	Facility		$221.87	$484.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $226.19 / $526.36	Professional		$138.02	$226.19	$526.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $316.69 / $688.38	Professional		$172.72	$316.69	$688.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $326.49 / $502.18 / $1,062.83	Professional	50	$326.49	$502.18	$1,062.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $747.65 / $1,205.94	Facility		$639.79	$747.65	$1,205.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $472.89 / $860.28	Professional		$204.34	$472.89	$860.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $159.77 / $258.30 / $431.05	Facility		$159.77	$258.30	$431.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.33 / $333.64 / $8,384.00	Facility		$164.33	$333.64	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.23 / $515.91 / $2,339.36	Professional		$239.23	$515.91	$2,339.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $140.22 / $431.39	Professional		$26.31	$140.22	$431.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $258.30 / $440.26	Facility		$153.44	$258.30	$440.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $480.32 / $754.01	Professional		$288.60	$480.32	$754.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,042.56 / $1,042.56 / $1,042.56	Facility		$1,042.56	$1,042.56	$1,042.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.85 / $1,012.10 / $2,339.36	Professional		$251.85	$1,012.10	$2,339.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $632.94 / $1,444.47 / $2,312.40	Professional		$632.94	$1,444.47	$2,312.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.23 / $438.58 / $1,014.56	Professional		$239.23	$438.58	$1,014.56