Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.15 / $218.15 / $17,823.00	Facility		$218.15	$218.15	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $218.15 / $1,376.18	Professional		$207.19	$218.15	$1,376.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $529.11 / $1,394.91	Professional		$200.93	$529.11	$1,394.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.48 / $921.40 / $1,486.19	Facility		$788.48	$921.40	$1,486.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $958.07 / $1,088.71	Professional		$311.20	$958.07	$1,088.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.15 / $315.41 / $616.05	Facility		$218.15	$315.41	$616.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.54 / $2,553.00 / $7,700.00	Facility		$286.54	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $605.45 / $1,646.35	Professional		$221.84	$605.45	$1,646.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $819.12	Professional		$50.00	$85.00	$819.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $218.15 / $315.41 / $616.05	Facility		$218.15	$315.41	$616.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $523.76 / $754.04	Professional		$285.39	$523.76	$754.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,394.10 / $1,394.10 / $1,394.10	Facility		$1,394.10	$1,394.10	$1,394.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.29 / $3,801.00 / $5,262.26	Professional		$298.29	$3,801.00	$5,262.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.91 / $1,551.91 / $1,551.91	Professional		$1,551.91	$1,551.91	$1,551.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.65 / $1,841.65 / $1,841.65	Professional		$1,841.65	$1,841.65	$1,841.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $839.58 / $1,379.67	Professional		$198.44	$839.58	$1,379.67