Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.61 / $1,198.86 / $14,482.00	Facility		$357.61	$1,198.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.32 / $357.61 / $928.74	Professional		$307.32	$357.61	$928.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.07 / $733.56 / $1,890.27	Professional		$310.07	$733.56	$1,890.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.56 / $995.11 / $1,526.53	Facility		$851.56	$995.11	$1,526.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $889.66 / $1,341.71	Professional		$375.63	$889.66	$1,341.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $310.74 / $396.24 / $662.44	Facility		$310.74	$396.24	$662.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $453.84 / $4,792.00	Facility		$310.89	$453.84	$4,792.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.48 / $707.87 / $2,442.96	Professional		$325.48	$707.87	$2,442.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $486.29 / $735.24	Professional		$178.24	$486.29	$735.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $394.07 / $660.15	Facility		$310.08	$394.07	$660.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $611.40 / $815.40 / $1,357.34	Professional		$611.40	$815.40	$1,357.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $5,564.75 / $5,564.75	Facility		$379.05	$5,564.75	$5,564.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $530.76 / $1,552.35 / $2,442.96	Professional		$530.76	$1,552.35	$2,442.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.02 / $1,183.02 / $1,183.02	Professional		$1,183.02	$1,183.02	$1,183.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.76 / $1,638.22 / $1,638.22	Professional		$1,086.76	$1,638.22	$1,638.22
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 $323.97 / $651.46 / $1,401.00	Professional		$323.97	$651.46	$1,401.00