Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.81 / $729.99 / $14,482.00	Facility		$220.81	$729.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $326.83 / $595.24	Professional		$189.47	$326.83	$595.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.04 / $654.71 / $1,736.47	Professional		$249.04	$654.71	$1,736.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $952.48 / $1,113.05 / $1,707.45	Facility		$952.48	$1,113.05	$1,707.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $673.56 / $1,471.39	Professional		$263.51	$673.56	$1,471.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.92 / $300.16 / $555.91	Facility		$163.92	$300.16	$555.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.09 / $330.43 / $2,783.00	Facility		$186.09	$330.43	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $1,074.67 / $2,621.12	Professional		$322.77	$1,074.67	$2,621.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $302.43 / $707.23	Professional		$52.71	$302.43	$707.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $281.25 / $555.91	Facility		$157.63	$281.25	$555.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $445.79 / $768.96 / $1,212.82	Professional		$445.79	$768.96	$1,212.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $1,420.14 / $1,614.64	Facility		$341.74	$1,420.14	$1,614.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $1,491.68 / $2,621.12	Professional		$313.64	$1,491.68	$2,621.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $722.50 / $722.50 / $1,309.73	Professional		$722.50	$722.50	$1,309.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $663.13 / $1,009.55 / $1,796.56	Professional		$663.13	$1,009.55	$1,796.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $662.58 / $1,503.07	Professional		$314.61	$662.58	$1,503.07