Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $504.44 / $1,894.00	Facility		$138.33	$504.44	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $444.38 / $678.85	Professional		$138.33	$444.38	$678.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.17 / $789.35 / $2,719.58	Professional		$256.17	$789.35	$2,719.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.90 / $1,502.67 / $2,423.76	Facility		$1,285.90	$1,502.67	$2,423.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.20 / $649.74 / $1,863.88	Professional		$249.20	$649.74	$1,863.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $312.32 / $906.00	Facility		$138.33	$312.32	$906.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $712.27 / $1,789.00	Facility		$148.47	$712.27	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.39 / $1,722.27 / $3,523.92	Professional		$642.39	$1,722.27	$3,523.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $520.26 / $1,105.93	Professional		$85.00	$520.26	$1,105.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $312.32 / $906.00	Facility		$138.33	$312.32	$906.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.47 / $626.90 / $1,678.87	Professional		$316.47	$626.90	$1,678.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $774.87 / $774.87 / $774.87	Facility		$774.87	$774.87	$774.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $960.22 / $3,523.92	Professional		$187.34	$960.22	$3,523.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $701.81 / $701.81 / $2,606.91	Professional		$701.81	$701.81	$2,606.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.92 / $2,851.23 / $2,851.23	Professional		$794.92	$2,851.23	$2,851.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $593.76 / $1,876.31 / $3,039.76	Professional		$593.76	$1,876.31	$3,039.76