Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.48 / $1,894.00 / $14,482.00	Facility		$424.48	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $417.69 / $579.12	Professional		$338.42	$417.69	$579.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,297.00 / $4,433.00	Facility		$1,139.00	$2,297.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.87 / $633.54 / $1,829.32	Professional		$332.87	$633.54	$1,829.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $856.97 / $1,001.43 / $1,536.22	Facility		$856.97	$1,001.43	$1,536.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.15 / $830.82 / $1,178.34	Professional		$415.15	$830.82	$1,178.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $352.97 / $436.98 / $907.50	Facility		$352.97	$436.98	$907.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.57 / $524.17 / $1,789.00	Facility		$356.57	$524.17	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.94 / $676.32 / $3,411.19	Professional		$367.94	$676.32	$3,411.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.43 / $365.09 / $824.37	Professional		$216.43	$365.09	$824.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $356.30 / $436.98 / $863.50	Facility		$356.30	$436.98	$863.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.79 / $806.94 / $1,388.76	Professional		$613.79	$806.94	$1,388.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $2,778.23 / $2,778.23	Facility		$392.68	$2,778.23	$2,778.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $540.87 / $1,672.45 / $3,411.19	Professional		$540.87	$1,672.45	$3,411.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,735.28 / $1,735.28 / $1,735.28	Professional		$1,735.28	$1,735.28	$1,735.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.82 / $2,073.38 / $2,314.63	Professional		$1,549.82	$2,073.38	$2,314.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,641.00 / $2,202.90	Facility		$1,008.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $604.09 / $1,465.90	Professional		$364.50	$604.09	$1,465.90