Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.91 / $3,119.00 / $14,482.00	Facility		$113.91	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $186.41 / $744.80	Professional		$113.91	$186.41	$744.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $17,436.00	Facility		$6,293.00	$10,261.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $459.10 / $1,411.21	Professional		$162.16	$459.10	$1,411.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.34 / $699.21 / $1,127.80	Facility		$598.34	$699.21	$1,127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $871.60 / $990.45	Professional		$252.00	$871.60	$990.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.91 / $210.52 / $452.62	Facility		$113.91	$210.52	$452.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.53 / $8,225.90 / $15,743.00	Facility		$172.53	$8,225.90	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $636.40 / $1,420.32	Professional		$179.37	$636.40	$1,420.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.91 / $210.52 / $452.62	Facility		$113.91	$210.52	$452.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $557.67 / $802.87	Professional		$303.87	$557.67	$802.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,242.40 / $26,242.40 / $26,242.40	Facility		$26,242.40	$26,242.40	$26,242.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $969.35 / $1,508.16 / $1,508.16	Professional		$969.35	$1,508.16	$1,508.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.34 / $773.34 / $773.34	Professional		$773.34	$773.34	$773.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.78 / $1,326.78 / $1,326.78	Professional		$1,326.78	$1,326.78	$1,326.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $639.97 / $1,064.95	Professional		$179.37	$639.97	$1,064.95