Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.45 / $271.45 / $14,482.00	Facility		$271.45	$271.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $300.32 / $644.51	Professional		$271.45	$300.32	$644.51
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 $516.62 / $999.67 / $3,032.05	Professional		$516.62	$999.67	$3,032.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.34 / $699.21 / $1,072.60	Facility		$598.34	$699.21	$1,072.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $356.37 / $404.96	Professional		$252.00	$356.37	$404.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $250.75 / $404.48 / $503.53	Facility		$250.75	$404.48	$503.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.47 / $467.47 / $1,789.00	Facility		$267.47	$467.47	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $624.46 / $1,072.35 / $3,294.40	Professional		$624.46	$1,072.35	$3,294.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $2,029.39	Professional		$50.00	$58.40	$2,029.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $250.75 / $404.48 / $503.53	Facility		$250.75	$404.48	$503.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $731.70 / $1,068.82 / $1,490.50	Professional		$731.70	$1,068.82	$1,490.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,051.23 / $2,051.23 / $2,051.23	Facility		$2,051.23	$2,051.23	$2,051.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,852.65 / $2,680.90 / $3,294.40	Professional		$1,852.65	$2,680.90	$3,294.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $716.85	Professional		$716.85	$716.85	$716.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $974.92 / $1,445.17 / $1,445.17	Professional		$974.92	$1,445.17	$1,445.17
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 $614.03 / $1,085.46 / $2,439.62	Professional		$614.03	$1,085.46	$2,439.62