Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.88 / $630.45 / $14,482.00	Facility		$371.88	$630.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $371.88 / $1,068.84	Professional		$241.02	$371.88	$1,068.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.67 / $812.28 / $1,794.92	Professional		$300.67	$812.28	$1,794.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.89 / $927.72 / $1,496.38	Facility		$793.89	$927.72	$1,496.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.83 / $940.15 / $1,273.28	Professional		$444.83	$940.15	$1,273.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $308.22 / $435.10 / $1,144.50	Facility		$308.22	$435.10	$1,144.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.81 / $4,240.00 / $12,631.00	Facility		$342.81	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.24 / $986.57 / $2,122.75	Professional		$357.24	$986.57	$2,122.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $424.27 / $705.94	Professional		$85.00	$424.27	$705.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $336.24 / $454.95 / $1,144.50	Facility		$336.24	$454.95	$1,144.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $606.45 / $936.45 / $1,213.70	Professional		$606.45	$936.45	$1,213.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,759.35 / $13,759.35 / $13,759.35	Facility		$13,759.35	$13,759.35	$13,759.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $427.58 / $1,495.65 / $2,821.73	Professional		$427.58	$1,495.65	$2,821.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $744.35 / $744.35 / $744.35	Professional		$744.35	$744.35	$744.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $715.07 / $1,834.82 / $1,834.82	Professional		$715.07	$1,834.82	$1,834.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.24 / $906.91 / $1,337.11	Professional		$357.24	$906.91	$1,337.11