Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.32 / $629.62 / $14,482.00	Facility		$374.32	$629.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $374.32 / $993.52	Professional		$224.78	$374.32	$993.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.52 / $789.33 / $1,795.55	Professional		$277.52	$789.33	$1,795.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.32 / $955.10 / $1,540.54	Facility		$817.32	$955.10	$1,540.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.95 / $948.99 / $1,289.94	Professional		$416.95	$948.99	$1,289.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $374.32 / $601.63	Facility		$279.83	$374.32	$601.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.81 / $2,781.00 / $6,150.00	Facility		$307.81	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.04 / $829.55 / $1,995.72	Professional		$330.04	$829.55	$1,995.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $243.32 / $627.95	Professional		$34.06	$243.32	$627.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $374.32 / $601.63	Facility		$279.83	$374.32	$601.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $598.65 / $921.00 / $1,095.24	Professional		$598.65	$921.00	$1,095.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,728.65 / $3,728.65 / $3,728.65	Facility		$3,728.65	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $431.60 / $1,406.15 / $2,284.08	Professional		$431.60	$1,406.15	$2,284.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $747.49 / $747.49 / $747.49	Professional		$747.49	$747.49	$747.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $1,852.11 / $1,852.11	Professional		$309.48	$1,852.11	$1,852.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.35 / $845.65 / $1,257.09	Professional		$303.35	$845.65	$1,257.09