Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $485.24 / $1,894.00	Facility		$100.45	$485.24	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $312.08 / $581.86	Professional		$84.95	$312.08	$581.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $504.17 / $1,926.84	Professional		$149.91	$504.17	$1,926.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.44 / $1,166.76 / $1,881.94	Facility		$998.44	$1,166.76	$1,881.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $528.86 / $1,488.70	Professional		$149.85	$528.86	$1,488.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.84 / $186.29 / $723.97	Facility		$86.84	$186.29	$723.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $788.61 / $4,514.00	Facility		$92.63	$788.61	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.90 / $1,305.32 / $2,291.96	Professional		$488.90	$1,305.32	$2,291.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $348.53 / $870.05	Professional		$85.00	$348.53	$870.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.84 / $186.29 / $723.97	Facility		$86.84	$186.29	$723.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $404.78 / $1,242.34	Professional		$183.19	$404.78	$1,242.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $463.75 / $463.75 / $463.75	Facility		$463.75	$463.75	$463.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $1,305.32 / $2,716.80	Professional		$151.68	$1,305.32	$2,716.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $411.20 / $411.20 / $2,025.98	Professional		$411.20	$411.20	$2,025.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $546.12 / $2,093.31 / $2,587.50	Professional		$546.12	$2,093.31	$2,587.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.69 / $1,353.72 / $2,162.78	Professional		$466.69	$1,353.72	$2,162.78