Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $599.21 / $3,119.00	Facility		$165.08	$599.21	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $381.47 / $745.76	Professional		$165.08	$381.47	$745.76
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 $292.27 / $732.37 / $1,809.98	Professional		$292.27	$732.37	$1,809.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.38 / $1,199.40 / $1,934.59	Facility		$1,026.38	$1,199.40	$1,934.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.93 / $579.00 / $1,373.03	Professional		$265.93	$579.00	$1,373.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $324.99 / $560.30	Facility		$165.08	$324.99	$560.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $424.26 / $4,130.00	Facility		$179.32	$424.26	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.15 / $1,239.71 / $2,480.32	Professional		$430.15	$1,239.71	$2,480.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $485.26 / $839.42	Professional		$85.00	$485.26	$839.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $324.99 / $560.30	Facility		$165.08	$324.99	$560.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $377.07 / $678.14 / $1,279.25	Professional		$377.07	$678.14	$1,279.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $763.96 / $763.96 / $763.96	Facility		$763.96	$763.96	$763.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.77 / $1,443.97 / $2,833.94	Professional		$249.77	$1,443.97	$2,833.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $834.40 / $834.40 / $2,034.97	Professional		$834.40	$834.40	$2,034.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $963.44 / $1,647.65 / $2,284.67	Professional		$963.44	$1,647.65	$2,284.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.98 / $844.64 / $1,860.40	Professional		$384.98	$844.64	$1,860.40