Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $757.29 / $14,482.00	Facility		$228.72	$757.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $372.74 / $681.90	Professional		$202.19	$372.74	$681.90
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 $280.81 / $743.24 / $2,034.55	Professional		$280.81	$743.24	$2,034.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.25 / $1,264.69 / $1,940.07	Facility		$1,082.25	$1,264.69	$1,940.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.25 / $749.76 / $1,681.55	Professional		$321.25	$749.76	$1,681.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $406.03 / $744.95	Facility		$210.68	$406.03	$744.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.29 / $421.26 / $2,781.00	Facility		$214.29	$421.26	$2,781.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $1,360.85 / $3,002.32	Professional		$447.42	$1,360.85	$3,002.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $639.66 / $1,002.78	Professional		$85.00	$639.66	$1,002.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.04 / $406.03 / $744.95	Facility		$212.04	$406.03	$744.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.39 / $861.92 / $1,363.86	Professional		$462.39	$861.92	$1,363.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $1,211.80 / $2,776.25	Facility		$354.09	$1,211.80	$2,776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.01 / $1,720.26 / $3,002.32	Professional		$399.01	$1,720.26	$3,002.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $762.03 / $762.03 / $1,534.54	Professional		$762.03	$762.03	$1,534.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $834.17 / $1,176.99 / $2,053.17	Professional		$834.17	$1,176.99	$2,053.17
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 $399.35 / $762.93 / $1,724.27	Professional		$399.35	$762.93	$1,724.27