Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.01 / $577.64 / $14,482.00	Facility		$174.01	$577.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $378.41 / $642.87	Professional		$154.63	$378.41	$642.87
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 $230.52 / $647.66 / $2,079.16	Professional		$230.52	$647.66	$2,079.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.41 / $1,326.82 / $2,035.37	Facility		$1,135.41	$1,326.82	$2,035.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.01 / $650.17 / $1,751.59	Professional		$250.01	$650.17	$1,751.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $395.12 / $750.49	Facility		$162.88	$395.12	$750.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.59 / $416.90 / $2,813.72	Facility		$165.59	$416.90	$2,813.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $396.86 / $1,338.28 / $3,110.96	Professional		$396.86	$1,338.28	$3,110.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $564.79 / $1,010.74	Professional		$85.00	$564.79	$1,010.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.74 / $389.17 / $750.49	Facility		$164.74	$389.17	$750.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.73 / $727.81 / $1,401.33	Professional		$354.73	$727.81	$1,401.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $1,109.46 / $4,901.45	Facility		$269.16	$1,109.46	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $304.49 / $1,791.90 / $3,110.96	Professional		$304.49	$1,791.90	$3,110.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $580.92 / $580.92 / $1,617.66	Professional		$580.92	$580.92	$1,617.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $590.54 / $793.88 / $2,138.67	Professional		$590.54	$793.88	$2,138.67
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 $377.19 / $778.83 / $2,072.96	Professional		$377.19	$778.83	$2,072.96