Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $8,243.00 / $14,482.00	Facility		$142.38	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $233.02 / $383.28	Professional		$142.38	$233.02	$383.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.67 / $634.44 / $1,374.94	Professional		$314.67	$634.44	$1,374.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.10 / $755.02 / $1,217.82	Facility		$646.10	$755.02	$1,217.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.42 / $345.76 / $440.25	Professional		$280.42	$345.76	$440.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $249.89 / $488.42	Facility		$142.38	$249.89	$488.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.89 / $7,555.00 / $12,631.00	Facility		$249.89	$7,555.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.94 / $725.04 / $1,240.06	Professional		$264.94	$725.04	$1,240.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $830.25	Professional		$50.00	$58.40	$830.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $249.89 / $488.42	Facility		$142.38	$249.89	$488.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $588.44 / $820.60	Professional		$320.63	$588.44	$820.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,168.04 / $10,168.04 / $10,168.04	Facility		$10,168.04	$10,168.04	$10,168.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,022.67 / $1,818.24 / $1,818.24	Professional		$1,022.67	$1,818.24	$1,818.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.50 / $1,232.50 / $1,232.50	Professional		$1,232.50	$1,232.50	$1,232.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.67 / $1,712.86 / $1,712.86	Professional		$1,494.67	$1,712.86	$1,712.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.94 / $730.75 / $1,082.83	Professional		$264.94	$730.75	$1,082.83