Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.61 / $444.17 / $14,482.00	Facility		$274.61	$444.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.29 / $274.61 / $444.17	Professional		$164.29	$274.61	$444.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.75 / $537.20 / $1,332.55	Professional		$219.75	$537.20	$1,332.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.39 / $645.51 / $1,041.18	Facility		$552.39	$645.51	$1,041.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.07 / $668.93 / $886.26	Professional		$375.07	$668.93	$886.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $217.15 / $307.64 / $428.58	Facility		$217.15	$307.64	$428.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.12 / $2,803.00 / $7,868.00	Facility		$250.12	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.58 / $760.54 / $1,230.49	Professional		$263.58	$760.54	$1,230.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $256.57 / $504.12	Professional		$85.00	$256.57	$504.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $217.15 / $307.64 / $428.58	Facility		$217.15	$307.64	$428.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $445.25 / $687.53 / $899.35	Professional		$445.25	$687.53	$899.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,358.63 / $2,358.63 / $2,358.63	Facility		$2,358.63	$2,358.63	$2,358.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $383.98 / $1,089.59 / $1,647.60	Professional		$383.98	$1,089.59	$1,647.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.08 / $1,134.08 / $1,134.08	Professional		$1,134.08	$1,134.08	$1,134.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.95 / $1,498.95 / $1,498.95	Professional		$1,498.95	$1,498.95	$1,498.95
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 $263.58 / $660.30 / $1,074.48	Professional		$263.58	$660.30	$1,074.48