Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $996.53 / $14,482.00	Facility		$300.50	$996.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $300.50 / $802.35	Professional		$254.66	$300.50	$802.35
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 $304.38 / $616.41 / $1,583.52	Professional		$304.38	$616.41	$1,583.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.55 / $803.46 / $1,232.53	Facility		$687.55	$803.46	$1,232.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.50 / $924.88 / $1,110.46	Professional		$368.50	$924.88	$1,110.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $271.23 / $385.30 / $557.76	Facility		$271.23	$385.30	$557.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.23 / $447.32 / $13,982.00	Facility		$271.23	$447.32	$13,982.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.69 / $658.44 / $2,073.09	Professional		$314.69	$658.44	$2,073.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $421.68 / $639.05	Professional		$85.00	$421.68	$639.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $271.23 / $379.85 / $555.00	Facility		$271.23	$379.85	$555.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $495.60 / $660.97 / $1,123.40	Professional		$495.60	$660.97	$1,123.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $17,986.75 / $17,986.75	Facility		$317.77	$17,986.75	$17,986.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $466.54 / $1,435.39 / $2,073.09	Professional		$466.54	$1,435.39	$2,073.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $998.47 / $998.47 / $998.47	Professional		$998.47	$998.47	$998.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $805.29 / $1,355.88 / $1,355.88	Professional		$805.29	$1,355.88	$1,355.88
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $13,251.00 / $17,327.00	Facility		$5,729.00	$13,251.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.64 / $616.94 / $1,246.25	Professional		$297.64	$616.94	$1,246.25