Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $437.18 / $1,894.00	Facility		$53.69	$437.18	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $239.35 / $555.75	Professional		$53.69	$239.35	$555.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $404.80 / $1,925.37	Professional		$99.43	$404.80	$1,925.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,119.19 / $1,307.85 / $2,109.54	Facility		$1,119.19	$1,307.85	$2,109.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $258.57 / $1,475.58	Professional		$88.76	$258.57	$1,475.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $109.93 / $612.05	Facility		$53.69	$109.93	$612.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $612.05 / $4,195.00	Facility		$57.37	$612.05	$4,195.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,625.88 / $3,625.88 / $3,625.88	Facility	50	$3,625.88	$3,625.88	$3,625.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.80 / $1,060.36 / $2,027.66	Professional		$385.80	$1,060.36	$2,027.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $397.05 / $927.68	Professional		$72.94	$397.05	$927.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $109.93 / $612.05	Facility		$53.69	$109.93	$612.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $381.73 / $1,326.56	Professional		$120.60	$381.73	$1,326.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $719.98 / $719.98 / $719.98	Facility		$719.98	$719.98	$719.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $1,160.17 / $3,009.28	Professional		$72.67	$1,160.17	$3,009.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $308.31 / $2,455.32	Professional		$262.25	$308.31	$2,455.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,068.00 / $4,985.00	Facility		$2,367.00	$3,068.00	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.17 / $968.17 / $1,739.12	Professional		$364.17	$968.17	$1,739.12