Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.07 / $586.13 / $14,482.00	Facility		$289.07	$586.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $298.02 / $974.39	Professional		$270.58	$298.02	$974.39
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 $284.35 / $762.41 / $1,952.20	Professional		$284.35	$762.41	$1,952.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.51 / $857.17 / $1,382.58	Facility		$733.51	$857.17	$1,382.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.15 / $890.32 / $1,173.97	Professional		$388.15	$890.32	$1,173.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.55 / $378.76 / $560.08	Facility		$286.55	$378.76	$560.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.07 / $4,103.00 / $8,783.00	Facility		$289.07	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.18 / $775.69 / $1,953.16	Professional		$337.18	$775.69	$1,953.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $393.09 / $710.50	Professional		$85.00	$393.09	$710.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.55 / $378.76 / $560.08	Facility		$286.55	$378.76	$560.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $863.18 / $1,176.30	Professional		$559.00	$863.18	$1,176.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.76 / $1,410.35 / $2,135.52	Professional		$396.76	$1,410.35	$2,135.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.39 / $1,462.39 / $1,462.39	Professional		$1,462.39	$1,462.39	$1,462.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,391.41 / $1,683.48 / $1,683.48	Professional		$1,391.41	$1,683.48	$1,683.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.46 / $938.12 / $1,360.62	Professional		$336.46	$938.12	$1,360.62