Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.93 / $354.24 / $14,482.00	Facility		$164.93	$354.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $252.92 / $442.88	Professional		$164.93	$252.92	$442.88
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 $347.23 / $745.78 / $1,771.12	Professional		$347.23	$745.78	$1,771.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.29 / $1,210.98 / $1,953.28	Facility		$1,036.29	$1,210.98	$1,953.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $332.28 / $708.89	Professional		$246.56	$332.28	$708.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.93 / $344.80 / $540.84	Facility		$164.93	$344.80	$540.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.61 / $450.37 / $1,789.00	Facility		$183.61	$450.37	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.26 / $1,221.03 / $2,210.44	Professional		$506.26	$1,221.03	$2,210.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $311.82 / $722.26	Professional		$70.00	$311.82	$722.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.93 / $344.80 / $540.84	Facility		$164.93	$344.80	$540.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.29 / $609.82 / $982.95	Professional		$365.29	$609.82	$982.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $901.83 / $901.83 / $901.83	Facility		$901.83	$901.83	$901.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $1,342.41 / $2,521.90	Professional		$275.57	$1,342.41	$2,521.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $343.60 / $744.27	Professional		$343.60	$343.60	$744.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $390.12 / $780.56 / $1,665.20	Professional		$390.12	$780.56	$1,665.20
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 $492.50 / $1,221.03 / $2,119.66	Professional		$492.50	$1,221.03	$2,119.66