Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.57 / $541.73 / $14,482.00	Facility		$259.57	$541.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $282.52 / $1,255.60	Professional		$252.17	$282.52	$1,255.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $599.01 / $1,611.52	Professional		$263.95	$599.01	$1,611.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.64 / $791.88 / $1,214.76	Facility		$677.64	$791.88	$1,214.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.15 / $1,051.52 / $1,194.91	Professional		$405.15	$1,051.52	$1,194.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $259.57 / $385.23 / $629.63	Facility		$259.57	$385.23	$629.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.57 / $527.40 / $1,778.00	Facility		$259.57	$527.40	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $557.40 / $3,477.23	Professional		$313.00	$557.40	$3,477.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.31 / $319.19 / $705.79	Professional		$169.31	$319.19	$705.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $259.57 / $378.35 / $629.63	Facility		$259.57	$378.35	$629.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $532.66 / $649.44 / $969.49	Professional		$532.66	$649.44	$969.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,636.97 / $2,636.97 / $2,636.97	Facility		$2,636.97	$2,636.97	$2,636.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $491.95 / $2,172.00 / $3,477.23	Professional		$491.95	$2,172.00	$3,477.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $864.37 / $864.37 / $864.37	Professional		$864.37	$864.37	$864.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $807.29 / $1,335.60 / $1,673.40	Professional		$807.29	$1,335.60	$1,673.40
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 $299.35 / $535.00 / $1,195.19	Professional		$299.35	$535.00	$1,195.19