Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.58 / $725.18 / $14,482.00	Facility		$242.58	$725.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.03 / $325.80 / $640.60	Professional		$208.03	$325.80	$640.60
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 $280.85 / $670.28 / $1,854.77	Professional		$280.85	$670.28	$1,854.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.26 / $1,094.09 / $1,678.37	Facility		$936.26	$1,094.09	$1,678.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $707.67 / $1,455.68	Professional		$301.27	$707.67	$1,455.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $359.90 / $648.41	Facility		$216.81	$359.90	$648.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.47 / $371.78 / $2,783.00	Facility		$218.47	$371.78	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.57 / $1,113.55 / $2,606.40	Professional		$339.57	$1,113.55	$2,606.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $335.43 / $794.72	Professional		$52.71	$335.43	$794.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $359.90 / $643.72	Facility		$216.81	$359.90	$643.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $493.74 / $794.28 / $1,209.41	Professional		$493.74	$794.28	$1,209.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $377.60 / $1,557.66 / $1,614.64	Facility		$377.60	$1,557.66	$1,614.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $1,489.19 / $2,606.40	Professional		$347.63	$1,489.19	$2,606.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $796.63 / $796.63 / $1,293.72	Professional		$796.63	$796.63	$1,293.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $766.12 / $1,103.25 / $1,777.39	Professional		$766.12	$1,103.25	$1,777.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.34 / $603.82 / $1,508.71	Professional		$334.34	$603.82	$1,508.71