Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.09 / $310.66 / $14,482.00	Facility		$224.09	$310.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $224.09 / $619.69	Professional		$139.63	$224.09	$619.69
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 $147.07 / $289.33 / $695.49	Professional		$147.07	$289.33	$695.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $232.06 / $442.50 / $1,077.15	Professional	50	$232.06	$442.50	$1,077.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.72 / $492.82 / $794.90	Facility		$421.72	$492.82	$794.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $346.96 / $572.29	Professional		$165.46	$346.96	$572.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.71 / $225.21 / $306.08	Facility		$152.71	$225.21	$306.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.71 / $276.18 / $8,384.00	Facility		$152.71	$276.18	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $353.49 / $2,196.12	Professional		$156.00	$353.49	$2,196.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $139.75 / $345.27	Professional		$83.09	$139.75	$345.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $225.21 / $307.99	Facility		$152.16	$225.21	$307.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $374.62 / $520.29	Professional		$291.20	$374.62	$520.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,049.40 / $1,049.40 / $1,049.40	Facility		$1,049.40	$1,049.40	$1,049.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.22 / $728.75 / $2,196.12	Professional		$248.22	$728.75	$2,196.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $456.34 / $1,453.14 / $1,538.33	Professional		$456.34	$1,453.14	$1,538.33
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 $154.54 / $313.56 / $683.67	Professional		$154.54	$313.56	$683.67