Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.23 / $452.59 / $14,482.00	Facility		$196.23	$452.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $279.72 / $693.07	Professional		$139.19	$279.72	$693.07
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 $178.40 / $298.07 / $607.61	Professional		$178.40	$298.07	$607.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $807.40 / $943.51 / $1,521.86	Facility		$807.40	$943.51	$1,521.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.99 / $474.80 / $1,080.41	Professional		$204.99	$474.80	$1,080.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $145.25 / $268.08 / $529.53	Facility		$145.25	$268.08	$529.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.25 / $415.52 / $5,639.00	Facility		$145.25	$415.52	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $629.03 / $2,857.18	Professional		$294.29	$629.03	$2,857.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $202.06 / $553.74	Professional		$28.95	$202.06	$553.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $268.08 / $543.11	Facility		$139.75	$268.08	$543.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $464.64 / $939.00	Professional		$283.62	$464.64	$939.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $921.96 / $921.96 / $921.96	Facility		$921.96	$921.96	$921.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $1,103.48 / $2,857.18	Professional		$265.64	$1,103.48	$2,857.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $608.23 / $608.23 / $1,429.42	Professional		$608.23	$608.23	$1,429.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $1,276.19 / $2,904.09	Professional		$595.44	$1,276.19	$2,904.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,912.00 / $5,865.00	Facility		$2,781.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $549.79 / $1,246.95	Professional		$294.29	$549.79	$1,246.95