Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.66 / $703.55 / $6,461.00	Facility		$286.66	$703.55	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $427.34 / $1,181.46	Professional		$286.66	$427.34	$1,181.46
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 $429.57 / $960.31 / $1,968.39	Professional		$429.57	$960.31	$1,968.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.95 / $1,555.33 / $2,385.91	Facility		$1,330.95	$1,555.33	$2,385.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.21 / $723.04 / $1,471.54	Professional		$376.21	$723.04	$1,471.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $340.38 / $598.04 / $1,380.12	Facility		$340.38	$598.04	$1,380.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.07 / $765.43 / $1,606.77	Facility		$343.07	$765.43	$1,606.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.16 / $944.52 / $2,554.71	Professional		$436.16	$944.52	$2,554.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $505.54 / $1,179.87	Professional		$310.76	$505.54	$1,179.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $340.38 / $598.04 / $1,380.12	Facility		$340.38	$598.04	$1,380.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $774.67 / $1,146.54 / $1,652.99	Professional		$774.67	$1,146.54	$1,652.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $659.78 / $881.79 / $1,592.56	Facility		$659.78	$881.79	$1,592.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.44 / $1,692.40 / $3,745.52	Professional		$434.44	$1,692.40	$3,745.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $632.21 / $632.21 / $946.24	Professional		$632.21	$632.21	$946.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $644.85 / $1,450.00 / $2,153.36	Professional		$644.85	$1,450.00	$2,153.36
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 $436.16 / $784.04 / $1,848.47	Professional		$436.16	$784.04	$1,848.47