Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.84 / $552.66 / $14,482.00	Facility		$341.84	$552.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $341.84 / $984.98	Professional		$195.66	$341.84	$984.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,594.00 / $5,962.00	Facility		$1,905.00	$3,594.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $625.77 / $1,660.81	Professional		$266.20	$625.77	$1,660.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.36 / $805.57 / $1,299.34	Facility		$689.36	$805.57	$1,299.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.70 / $833.14 / $1,106.39	Professional		$466.70	$833.14	$1,106.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $270.19 / $427.97 / $528.10	Facility		$270.19	$427.97	$528.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.72 / $3,364.00 / $7,868.00	Facility		$310.72	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $886.22 / $1,494.47	Professional		$320.27	$886.22	$1,494.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $280.99 / $618.07	Professional		$85.00	$280.99	$618.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $270.19 / $427.97 / $528.10	Facility		$270.19	$427.97	$528.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.95 / $718.33 / $1,006.14	Professional		$434.95	$718.33	$1,006.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,278.21 / $2,278.21 / $2,278.21	Facility		$2,278.21	$2,278.21	$2,278.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.25 / $1,331.00 / $2,047.52	Professional		$478.25	$1,331.00	$2,047.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.44 / $1,413.44 / $1,413.44	Professional		$1,413.44	$1,413.44	$1,413.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.90 / $1,866.90 / $1,866.90	Professional		$1,866.90	$1,866.90	$1,866.90
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 $320.27 / $913.46 / $1,184.58	Professional		$320.27	$913.46	$1,184.58