Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.34 / $660.37 / $14,482.00	Facility		$199.34	$660.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $484.33 / $738.19	Professional		$176.63	$484.33	$738.19
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 $264.08 / $783.72 / $2,976.06	Professional		$264.08	$783.72	$2,976.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.46 / $1,752.24 / $2,687.98	Facility		$1,499.46	$1,752.24	$2,687.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.16 / $742.69 / $2,309.30	Professional		$294.16	$742.69	$2,309.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.15 / $463.00 / $935.78	Facility		$181.15	$463.00	$935.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $531.21 / $3,242.00	Facility		$180.68	$531.21	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $607.95 / $1,851.11 / $4,095.04	Professional		$607.95	$1,851.11	$4,095.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $853.75 / $1,265.25	Professional		$70.00	$853.75	$1,265.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $181.15 / $463.00 / $935.78	Facility		$181.15	$463.00	$935.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $405.51 / $839.58 / $1,835.13	Professional		$405.51	$839.58	$1,835.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $1,057.00 / $1,057.00	Facility		$307.91	$1,057.00	$1,057.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.81 / $1,921.97 / $4,095.04	Professional		$347.81	$1,921.97	$4,095.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $664.70 / $664.70 / $2,148.42	Professional		$664.70	$664.70	$2,148.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $906.80 / $1,898.12 / $2,819.65	Professional		$906.80	$1,898.12	$2,819.65
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 $593.11 / $1,176.16 / $2,812.76	Professional		$593.11	$1,176.16	$2,812.76