Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.98 / $838.46 / $14,482.00	Facility		$333.98	$838.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $390.37 / $780.20	Professional		$293.27	$390.37	$780.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.33 / $875.45 / $2,251.92	Professional		$375.33	$875.45	$2,251.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,072.33 / $1,253.10 / $1,922.30	Facility		$1,072.33	$1,253.10	$1,922.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.21 / $865.35 / $1,637.59	Professional		$405.21	$865.35	$1,637.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $439.60 / $693.00	Facility		$291.75	$439.60	$693.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.30 / $448.49 / $1,198.00	Facility		$293.30	$448.49	$1,198.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.89 / $1,413.45 / $2,982.08	Professional		$430.89	$1,413.45	$2,982.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $365.38 / $863.82	Professional		$50.00	$365.38	$863.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $439.60 / $689.04	Facility		$291.75	$439.60	$689.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $640.50 / $955.24 / $1,532.08	Professional		$640.50	$955.24	$1,532.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $2,000.00 / $2,113.44	Facility		$508.30	$2,000.00	$2,113.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $464.78 / $1,707.57 / $2,982.08	Professional		$464.78	$1,707.57	$2,982.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.71 / $1,100.71 / $1,488.87	Professional		$1,100.71	$1,100.71	$1,488.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.03 / $1,523.01 / $2,038.05	Professional		$1,260.03	$1,523.01	$2,038.05
United Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,533.00 / $2,202.90	Facility		$953.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $402.91 / $869.17 / $2,056.12	Professional		$402.91	$869.17	$2,056.12