Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.87 / $458.44 / $14,482.00	Facility		$280.87	$458.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $280.87 / $873.25	Professional		$173.95	$280.87	$873.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.89 / $538.44 / $1,353.99	Professional		$218.89	$538.44	$1,353.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.01 / $670.78 / $1,081.94	Facility		$574.01	$670.78	$1,081.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.89 / $690.18 / $1,015.49	Professional		$418.89	$690.18	$1,015.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.10 / $306.45 / $480.72	Facility		$204.10	$306.45	$480.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $2,257.00 / $4,793.00	Facility		$244.50	$2,257.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $736.03 / $1,285.73	Professional		$270.74	$736.03	$1,285.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $346.14 / $531.71	Professional		$117.74	$346.14	$531.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $204.10 / $306.45 / $480.72	Facility		$204.10	$306.45	$480.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.60 / $706.60 / $927.91	Professional		$457.60	$706.60	$927.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $429.54 / $1,117.24 / $1,688.72	Professional		$429.54	$1,117.24	$1,688.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.59 / $1,149.59 / $1,149.59	Professional		$1,149.59	$1,149.59	$1,149.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $1,546.53 / $1,546.53	Professional		$341.06	$1,546.53	$1,546.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $664.75 / $1,077.02	Professional		$262.30	$664.75	$1,077.02