Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $170.17 / $14,482.00	Facility		$147.97	$170.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $83.92 / $147.97	Professional		$71.18	$83.92	$147.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $20,943.00 / $52,845.00	Facility		$1,979.00	$20,943.00	$52,845.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $171.46 / $512.79	Professional		$79.02	$171.46	$512.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $727.64 / $1,173.66	Facility		$622.66	$727.64	$1,173.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $651.48 / $951.52	Professional		$141.77	$651.48	$951.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $202.35 / $417.36	Facility		$105.82	$202.35	$417.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.11 / $3,242.00 / $13,407.00	Facility		$112.11	$3,242.00	$13,407.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $523.53 / $1,907.98	Professional		$154.53	$523.53	$1,907.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $536.79	Professional		$55.00	$85.00	$536.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $202.35 / $417.36	Facility		$105.82	$202.35	$417.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $215.64 / $301.57	Professional		$148.19	$215.64	$301.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,222.58 / $4,222.58 / $4,222.58	Facility		$4,222.58	$4,222.58	$4,222.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $394.50 / $2,336.63	Professional		$117.66	$394.50	$2,336.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $744.48 / $744.48 / $744.48	Professional		$744.48	$744.48	$744.48
Security Health Facility/Professional Facility Modifier Low / Median / High Price $35,066.75 / $40,397.19 / $51,568.75	Facility		$35,066.75	$40,397.19	$51,568.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $447.14 / $1,562.60 / $1,562.60	Professional		$447.14	$1,562.60	$1,562.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $4,654.00 / $20,120.00	Facility		$2,883.00	$4,654.00	$20,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $497.32 / $1,204.54	Professional		$100.14	$497.32	$1,204.54