Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.95 / $459.56 / $14,482.00	Facility		$271.95	$459.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $271.95 / $806.64	Professional		$180.86	$271.95	$806.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.57 / $631.04 / $1,355.83	Professional		$227.57	$631.04	$1,355.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.21 / $668.67 / $1,078.55	Facility		$572.21	$668.67	$1,078.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.07 / $687.26 / $1,038.91	Professional		$388.07	$687.26	$1,038.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.10 / $338.44 / $1,212.53	Facility		$245.10	$338.44	$1,212.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $260.38 / $1,212.53 / $7,700.00	Facility		$260.38	$1,212.53	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.42 / $751.31 / $1,603.57	Professional		$273.42	$751.31	$1,603.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $323.22 / $563.03	Professional		$85.00	$323.22	$563.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $245.10 / $338.44 / $1,212.53	Facility		$245.10	$338.44	$1,212.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $464.10 / $716.64 / $924.30	Professional		$464.10	$716.64	$924.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,919.58 / $4,919.58 / $4,919.58	Facility		$4,919.58	$4,919.58	$4,919.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.57 / $1,129.84 / $2,177.80	Professional		$398.57	$1,129.84	$2,177.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $551.89 / $551.89 / $551.89	Professional		$551.89	$551.89	$551.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $591.61 / $1,341.28 / $1,341.28	Professional		$591.61	$1,341.28	$1,341.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.42 / $691.11 / $1,010.09	Professional		$273.42	$691.11	$1,010.09