Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.77 / $997.21 / $14,482.00	Facility		$299.77	$997.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.03 / $299.77 / $792.81	Professional		$254.03	$299.77	$792.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $614.91 / $1,574.62	Professional		$306.17	$614.91	$1,574.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.36 / $805.57 / $1,235.76	Facility		$689.36	$805.57	$1,235.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.59 / $928.47 / $1,110.78	Professional		$368.59	$928.47	$1,110.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.48 / $379.35 / $551.00	Facility		$269.48	$379.35	$551.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.05 / $429.97 / $10,843.00	Facility		$269.05	$429.97	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $312.63 / $658.94 / $2,037.76	Professional		$312.63	$658.94	$2,037.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $421.10 / $639.05	Professional		$85.00	$421.10	$639.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $269.48 / $374.93 / $551.00	Facility		$269.48	$374.93	$551.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $494.40 / $659.36 / $1,123.71	Professional		$494.40	$659.36	$1,123.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $17,986.75 / $17,986.75	Facility		$315.85	$17,986.75	$17,986.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $461.87 / $1,428.68 / $2,037.76	Professional		$461.87	$1,428.68	$2,037.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $992.86 / $992.86 / $992.86	Professional		$992.86	$992.86	$992.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.46 / $1,356.26 / $1,356.26	Professional		$1,007.46	$1,356.26	$1,356.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.99 / $592.61 / $1,225.82	Professional		$291.99	$592.61	$1,225.82