Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.67 / $634.77 / $3,119.00	Facility		$257.67	$634.77	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.67 / $416.40 / $837.80	Professional		$257.67	$416.40	$837.80
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 $414.56 / $890.39 / $1,884.68	Professional		$414.56	$890.39	$1,884.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,309.33 / $1,530.05 / $2,347.14	Facility		$1,309.33	$1,530.05	$2,347.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $785.70 / $1,440.05	Professional		$347.28	$785.70	$1,440.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $306.60 / $564.24 / $1,346.91	Facility		$306.60	$564.24	$1,346.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.45 / $841.71 / $3,593.00	Facility		$309.45	$841.71	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.09 / $905.20 / $2,311.12	Professional		$450.09	$905.20	$2,311.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $382.91 / $1,002.17	Professional		$29.98	$382.91	$1,002.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $306.60 / $564.24 / $1,346.91	Facility		$306.60	$564.24	$1,346.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $713.57 / $1,082.16 / $1,625.95	Professional		$713.57	$1,082.16	$1,625.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $595.27 / $795.58 / $2,216.40	Facility		$595.27	$795.58	$2,216.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $513.07 / $1,476.80 / $3,659.12	Professional		$513.07	$1,476.80	$3,659.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $571.85 / $571.85 / $931.74	Professional		$571.85	$571.85	$931.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $553.21 / $1,311.11 / $2,107.27	Professional		$553.21	$1,311.11	$2,107.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.97 / $752.46 / $1,810.40	Professional		$448.97	$752.46	$1,810.40