Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $1,591.25 / $15,793.18	Facility		$299.44	$1,591.25	$15,793.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $299.44 / $1,490.89	Professional		$244.34	$299.44	$1,490.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.46 / $614.24 / $1,579.47	Professional		$253.46	$614.24	$1,579.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.69 / $834.00 / $1,279.38	Facility		$713.69	$834.00	$1,279.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.83 / $854.77 / $1,121.10	Professional		$319.83	$854.77	$1,121.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $261.73 / $354.84 / $672.00	Facility		$261.73	$354.84	$672.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.73 / $401.32 / $7,318.00	Facility		$257.73	$401.32	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $599.10 / $2,020.72	Professional		$271.39	$599.10	$2,020.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $384.07 / $655.85	Professional		$138.03	$384.07	$655.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $261.73 / $354.84 / $672.00	Facility		$261.73	$354.84	$672.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $493.80 / $658.56 / $1,134.17	Professional		$493.80	$658.56	$1,134.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $16,547.20 / $16,547.20	Facility		$306.14	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.76 / $1,265.75 / $2,020.72	Professional		$379.76	$1,265.75	$2,020.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $978.27 / $978.27 / $978.27	Professional		$978.27	$978.27	$978.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $906.28 / $1,368.88 / $1,368.88	Professional		$906.28	$1,368.88	$1,368.88
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 $267.32 / $488.89 / $1,142.33	Professional		$267.32	$488.89	$1,142.33