Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $1,894.00 / $14,482.00	Facility		$76.56	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $125.39 / $1,274.10	Professional		$76.56	$125.39	$1,274.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,395.00	Facility		$1,139.00	$2,479.00	$4,395.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $345.58 / $902.75	Professional		$130.03	$345.58	$902.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $127.39	Facility		$67.58	$78.98	$127.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $79.77 / $90.65	Professional		$28.97	$79.77	$90.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $76.56 / $115.99	Facility		$26.25	$76.56	$115.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $2,398.00 / $4,793.00	Facility		$30.54	$2,398.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $336.43 / $917.11	Professional		$141.16	$336.43	$917.11
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 $26.25 / $76.56 / $115.99	Facility		$26.25	$76.56	$115.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.97 / $1,956.22 / $2,816.29	Professional		$300.97	$1,956.22	$2,816.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,754.25 / $3,754.25 / $3,754.25	Facility		$3,754.25	$3,754.25	$3,754.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,823.98 / $4,471.30 / $4,471.30	Professional		$2,823.98	$4,471.30	$4,471.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $129.22 / $129.22	Professional		$129.22	$129.22	$129.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $153.35 / $153.35	Professional		$153.35	$153.35	$153.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $353.02 / $741.01	Professional		$122.83	$353.02	$741.01