Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.20 / $721.82 / $14,482.00	Facility		$268.20	$721.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.61 / $306.18 / $586.91	Professional		$226.61	$306.18	$586.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.50 / $678.21 / $1,812.93	Professional		$275.50	$678.21	$1,812.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.87 / $1,098.31 / $1,684.84	Facility		$939.87	$1,098.31	$1,684.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $737.01 / $1,457.84	Professional		$315.04	$737.01	$1,457.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.33 / $320.98 / $586.79	Facility		$177.33	$320.98	$586.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.16 / $343.03 / $3,036.00	Facility		$192.16	$343.03	$3,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $1,030.32 / $2,601.36	Professional		$313.52	$1,030.32	$2,601.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $301.89 / $712.78	Professional		$50.00	$301.89	$712.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $319.23 / $586.79	Facility		$172.85	$319.23	$586.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $535.54 / $800.70 / $1,191.24	Professional		$535.54	$800.70	$1,191.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $408.11 / $1,719.72 / $7,929.30	Facility		$408.11	$1,719.72	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.34 / $1,491.39 / $2,601.36	Professional		$426.34	$1,491.39	$2,601.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $877.83 / $877.83 / $1,288.53	Professional		$877.83	$877.83	$1,288.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $819.28 / $1,232.49 / $1,780.01	Professional		$819.28	$1,232.49	$1,780.01
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 $307.56 / $632.39 / $1,439.02	Professional		$307.56	$632.39	$1,439.02