Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $568.51 / $1,894.00	Facility		$222.53	$568.51	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.53 / $298.12 / $828.14	Professional		$222.53	$298.12	$828.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.49 / $682.31 / $1,594.31	Professional		$295.49	$682.31	$1,594.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.11 / $850.85 / $1,372.39	Facility		$728.11	$850.85	$1,372.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.21 / $735.67 / $1,131.63	Professional		$339.21	$735.67	$1,131.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $303.14 / $543.24	Facility		$210.00	$303.14	$543.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $429.81 / $5,261.00	Facility		$222.53	$429.81	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.10 / $981.84 / $1,994.01	Professional		$322.10	$981.84	$1,994.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.91 / $219.62 / $575.04	Professional		$37.91	$219.62	$575.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $303.14 / $543.24	Facility		$210.00	$303.14	$543.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $443.95 / $648.05 / $1,084.39	Professional		$443.95	$648.05	$1,084.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,415.04 / $1,415.04 / $1,415.04	Facility		$1,415.04	$1,415.04	$1,415.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $283.17 / $1,157.67 / $2,017.92	Professional		$283.17	$1,157.67	$2,017.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $731.68 / $731.68 / $1,005.88	Professional		$731.68	$731.68	$1,005.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $863.26 / $1,020.75 / $1,381.71	Professional		$863.26	$1,020.75	$1,381.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $932.36 / $1,491.70	Professional		$316.24	$932.36	$1,491.70