Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.05 / $403.05 / $14,482.00	Facility		$403.05	$403.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.05 / $424.80 / $729.63	Professional		$403.05	$424.80	$729.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.86 / $1,016.92 / $2,150.30	Professional		$452.86	$1,016.92	$2,150.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.74 / $1,067.77 / $1,637.99	Facility		$913.74	$1,067.77	$1,637.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.04 / $776.08 / $1,032.48	Professional		$475.04	$776.08	$1,032.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.26 / $629.52 / $1,388.16	Facility		$398.26	$629.52	$1,388.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.05 / $995.64 / $2,054.52	Facility		$403.05	$995.64	$2,054.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.88 / $572.05 / $1,403.28	Professional		$331.88	$572.05	$1,403.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $1,737.50	Professional		$65.00	$85.00	$1,737.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $398.26 / $629.52 / $1,388.16	Facility		$398.26	$629.52	$1,388.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $888.60 / $1,172.95 / $1,636.35	Professional		$888.60	$1,172.95	$1,636.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $897.74 / $2,241.94 / $2,241.94	Facility		$897.74	$2,241.94	$2,241.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $2,019.92 / $3,591.68	Professional		$556.60	$2,019.92	$3,591.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $648.51 / $648.51 / $648.51	Professional		$648.51	$648.51	$648.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $623.03 / $1,535.94 / $1,711.11	Professional		$623.03	$1,535.94	$1,711.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $618.27 / $1,328.83	Professional		$333.96	$618.27	$1,328.83