Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.12 / $538.90 / $14,482.00	Facility		$334.12	$538.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $334.12 / $942.90	Professional		$184.18	$334.12	$942.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.38 / $598.41 / $1,572.61	Professional		$265.38	$598.41	$1,572.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.43 / $783.45 / $1,263.68	Facility		$670.43	$783.45	$1,263.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $812.28 / $1,156.54	Professional		$455.06	$812.28	$1,156.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $419.89 / $604.76	Facility		$263.45	$419.89	$604.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.55 / $2,553.00 / $7,700.00	Facility		$305.55	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.60 / $840.47 / $1,566.86	Professional		$321.60	$840.47	$1,566.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $376.68 / $634.49	Professional		$85.00	$376.68	$634.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $419.89 / $604.76	Facility		$263.45	$419.89	$604.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $544.70 / $841.10 / $1,092.07	Professional		$544.70	$841.10	$1,092.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $466.27 / $1,328.70 / $14,851.23	Professional		$466.27	$1,328.70	$14,851.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.39 / $1,378.39 / $1,378.39	Professional		$1,378.39	$1,378.39	$1,378.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.88 / $1,820.16 / $1,820.16	Professional		$1,136.88	$1,820.16	$1,820.16
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 $321.60 / $940.38 / $1,360.04	Professional		$321.60	$940.38	$1,360.04