Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.29 / $515.59 / $14,482.00	Facility		$320.29	$515.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.87 / $320.29 / $918.89	Professional		$190.87	$320.29	$918.89
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 $256.27 / $626.29 / $1,516.41	Professional		$256.27	$626.29	$1,516.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.60 / $749.76 / $1,209.33	Facility		$641.60	$749.76	$1,209.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $777.43 / $1,028.70	Professional		$435.39	$777.43	$1,028.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $252.07 / $358.78 / $497.42	Facility		$252.07	$358.78	$497.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.02 / $2,803.00 / $7,868.00	Facility		$290.02	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.26 / $886.60 / $1,434.78	Professional		$307.26	$886.60	$1,434.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $351.52 / $660.33	Professional		$85.00	$351.52	$660.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $252.07 / $358.78 / $497.42	Facility		$252.07	$358.78	$497.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $516.10 / $796.94 / $1,045.22	Professional		$516.10	$796.94	$1,045.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,348.18 / $3,348.18 / $3,348.18	Facility		$3,348.18	$3,348.18	$3,348.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.27 / $1,270.20 / $1,914.64	Professional		$446.27	$1,270.20	$1,914.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.69 / $1,319.69 / $1,319.69	Professional		$1,319.69	$1,319.69	$1,319.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.04 / $1,742.04 / $1,742.04	Professional		$1,742.04	$1,742.04	$1,742.04
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 $307.26 / $932.60 / $1,300.16	Professional		$307.26	$932.60	$1,300.16