Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.75 / $1,184.71 / $14,482.00	Facility		$357.75	$1,184.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $357.75 / $954.44	Professional		$302.27	$357.75	$954.44
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 $323.68 / $733.85 / $1,883.81	Professional		$323.68	$733.85	$1,883.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.22 / $956.15 / $1,466.76	Facility		$818.22	$956.15	$1,466.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.91 / $1,098.15 / $1,322.00	Professional		$435.91	$1,098.15	$1,322.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $322.68 / $429.74 / $661.50	Facility		$322.68	$429.74	$661.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.68 / $500.85 / $10,230.00	Facility		$322.68	$500.85	$10,230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.13 / $780.30 / $2,451.36	Professional		$374.13	$780.30	$2,451.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $536.27 / $791.08	Professional		$85.00	$536.27	$791.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $322.68 / $425.90 / $661.50	Facility		$322.68	$425.90	$661.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $784.20 / $1,337.40	Professional		$588.00	$784.20	$1,337.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $12,117.25 / $12,117.25	Facility		$378.60	$12,117.25	$12,117.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $554.74 / $1,713.97 / $2,451.36	Professional		$554.74	$1,713.97	$2,451.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.83 / $1,187.83 / $1,187.83	Professional		$1,187.83	$1,187.83	$1,187.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $976.76 / $1,614.19 / $1,614.19	Professional		$976.76	$1,614.19	$1,614.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.58 / $710.81 / $1,464.62	Professional		$354.58	$710.81	$1,464.62