Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $746.93 / $14,482.00	Facility		$300.20	$746.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $383.57 / $1,290.50	Professional		$300.20	$383.57	$1,290.50
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 $444.39 / $896.44 / $1,959.06	Professional		$444.39	$896.44	$1,959.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.60 / $1,420.54 / $2,179.14	Facility		$1,215.60	$1,420.54	$2,179.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.07 / $663.95 / $1,242.94	Professional		$377.07	$663.95	$1,242.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.97 / $543.84 / $1,232.52	Facility		$331.97	$543.84	$1,232.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.89 / $740.85 / $1,590.00	Facility		$355.89	$740.85	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.82 / $896.17 / $2,666.40	Professional		$454.82	$896.17	$2,666.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $246.62 / $777.16	Professional		$31.53	$246.62	$777.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $331.97 / $543.84 / $1,232.52	Facility		$331.97	$543.84	$1,232.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $775.42 / $1,075.13 / $1,499.30	Professional		$775.42	$1,075.13	$1,499.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $700.46 / $936.16 / $1,641.00	Facility		$700.46	$936.16	$1,641.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.12 / $1,750.05 / $3,373.52	Professional		$426.12	$1,750.05	$3,373.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $653.78 / $653.78 / $840.43	Professional		$653.78	$653.78	$840.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $674.71 / $1,537.79 / $1,955.47	Professional		$674.71	$1,537.79	$1,955.47
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 $439.55 / $726.44 / $1,870.41	Professional		$439.55	$726.44	$1,870.41