Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.70 / $674.73 / $14,482.00	Facility		$285.70	$674.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.39 / $325.61 / $674.73	Professional		$249.39	$325.61	$674.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.54 / $724.55 / $1,825.72	Professional		$306.54	$724.55	$1,825.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.99 / $1,022.49 / $1,568.53	Facility		$874.99	$1,022.49	$1,568.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $693.23 / $1,368.71	Professional		$329.32	$693.23	$1,368.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $362.52 / $590.29	Facility		$259.73	$362.52	$590.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $260.73 / $383.85 / $5,080.00	Facility		$260.73	$383.85	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.26 / $1,089.97 / $2,460.71	Professional		$342.26	$1,089.97	$2,460.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $299.88 / $730.57	Professional		$50.00	$299.88	$730.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $255.44 / $361.68 / $590.29	Facility		$255.44	$361.68	$590.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $533.52 / $782.00 / $1,134.04	Professional		$533.52	$782.00	$1,134.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $1,825.50 / $16,547.20	Facility		$437.72	$1,825.50	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.19 / $1,400.22 / $2,460.71	Professional		$375.19	$1,400.22	$2,460.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $938.36 / $938.36 / $1,223.81	Professional		$938.36	$938.36	$1,223.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $909.34 / $1,301.60 / $1,671.20	Professional		$909.34	$1,301.60	$1,671.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.62 / $663.08 / $1,427.04	Professional		$319.62	$663.08	$1,427.04