Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.60 / $396.88 / $14,482.00	Facility		$263.60	$396.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $263.60 / $721.89	Professional		$141.96	$263.60	$721.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.71 / $508.32 / $1,273.72	Professional		$202.71	$508.32	$1,273.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.16 / $626.54 / $1,010.61	Facility		$536.16	$626.54	$1,010.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.37 / $643.15 / $864.69	Professional		$363.37	$643.15	$864.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.03 / $323.08 / $661.50	Facility		$194.03	$323.08	$661.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.67 / $6,564.00 / $12,216.00	Facility		$211.67	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $621.17 / $1,208.78	Professional		$246.01	$621.17	$1,208.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $283.17 / $391.39	Professional		$85.00	$283.17	$391.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.03 / $323.08 / $661.50	Facility		$194.03	$323.08	$661.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.15 / $573.11 / $864.68	Professional		$371.15	$573.11	$864.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,472.55 / $11,472.55 / $11,472.55	Facility		$11,472.55	$11,472.55	$11,472.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $1,025.05 / $2,955.47	Professional		$400.29	$1,025.05	$2,955.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.01 / $1,084.01 / $1,084.01	Professional		$1,084.01	$1,084.01	$1,084.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $895.29 / $1,441.20 / $1,441.20	Professional		$895.29	$1,441.20	$1,441.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.28 / $621.17 / $995.65	Professional		$245.28	$621.17	$995.65