Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.73 / $676.85 / $3,119.00	Facility		$273.73	$676.85	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.73 / $444.21 / $1,088.08	Professional		$273.73	$444.21	$1,088.08
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 $427.16 / $931.84 / $1,931.49	Professional		$427.16	$931.84	$1,931.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.63 / $1,622.72 / $2,489.29	Facility		$1,388.63	$1,622.72	$2,489.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.27 / $832.50 / $1,341.98	Professional		$365.27	$832.50	$1,341.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $324.24 / $580.79 / $1,425.60	Facility		$324.24	$580.79	$1,425.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.77 / $893.73 / $7,318.09	Facility		$327.77	$893.73	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.50 / $928.32 / $2,441.67	Professional		$464.50	$928.32	$2,441.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $290.06 / $936.04	Professional		$31.53	$290.06	$936.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $324.24 / $580.79 / $1,425.60	Facility		$324.24	$580.79	$1,425.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $1,136.88 / $1,708.16	Professional		$738.46	$1,136.88	$1,708.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $634.73 / $848.31 / $1,553.36	Facility		$634.73	$848.31	$1,553.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $535.04 / $1,549.25 / $3,863.28	Professional		$535.04	$1,549.25	$3,863.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $599.92 / $599.92 / $989.13	Professional		$599.92	$599.92	$989.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $693.25 / $1,391.87 / $2,231.58	Professional		$693.25	$1,391.87	$2,231.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $6,477.00 / $8,384.00	Facility		$3,193.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.03 / $732.75 / $1,845.05	Professional		$446.03	$732.75	$1,845.05