Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.64 / $751.01 / $14,482.00	Facility		$280.64	$751.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.68 / $343.43 / $629.64	Professional		$242.68	$343.43	$629.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.69 / $714.03 / $1,998.54	Professional		$306.69	$714.03	$1,998.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.43 / $1,156.23 / $1,773.68	Facility		$989.43	$1,156.23	$1,773.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.85 / $756.83 / $1,530.94	Professional		$330.85	$756.83	$1,530.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $248.07 / $370.07 / $619.11	Facility		$248.07	$370.07	$619.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.94 / $385.35 / $7,301.00	Facility		$251.94	$385.35	$7,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.66 / $1,191.45 / $2,727.76	Professional		$360.66	$1,191.45	$2,727.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $333.03 / $782.03	Professional		$50.00	$333.03	$782.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $248.07 / $370.07 / $619.11	Facility		$248.07	$370.07	$619.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $834.29 / $1,241.21	Professional		$557.19	$834.29	$1,241.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $1,784.94 / $7,909.30	Facility		$420.40	$1,784.94	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.23 / $1,566.18 / $2,727.76	Professional		$385.23	$1,566.18	$2,727.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $916.51 / $916.51 / $1,362.28	Professional		$916.51	$916.51	$1,362.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $922.90 / $1,279.01 / $1,869.29	Professional		$922.90	$1,279.01	$1,869.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $13,980.00	Facility		$7,217.00	$11,733.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.74 / $671.48 / $1,556.47	Professional		$344.74	$671.48	$1,556.47