Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.85 / $329.85 / $17,823.00	Facility		$329.85	$329.85	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $329.85 / $800.00	Professional		$285.25	$329.85	$800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.29 / $756.14 / $1,602.72	Professional		$272.29	$756.14	$1,602.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $785.78 / $918.24 / $1,481.09	Facility		$785.78	$918.24	$1,481.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.61 / $938.87 / $1,066.90	Professional		$503.61	$938.87	$1,066.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $315.23 / $385.92 / $616.13	Facility		$315.23	$385.92	$616.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.85 / $2,553.00 / $7,700.00	Facility		$329.85	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.91 / $772.33 / $1,599.64	Professional		$306.91	$772.33	$1,599.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $819.18	Professional		$50.00	$85.00	$819.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $315.23 / $385.92 / $616.13	Facility		$315.23	$385.92	$616.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.10 / $706.76 / $1,017.50	Professional		$385.10	$706.76	$1,017.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,884.30 / $4,884.30 / $4,884.30	Facility		$4,884.30	$4,884.30	$4,884.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $515.41 / $5,701.50 / $13,680.00	Professional		$515.41	$5,701.50	$13,680.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $731.31 / $731.31 / $731.31	Professional		$731.31	$731.31	$731.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.71 / $1,862.71 / $1,862.71	Professional		$1,862.71	$1,862.71	$1,862.71
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 $286.57 / $839.67 / $1,235.91	Professional		$286.57	$839.67	$1,235.91