Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $534.53 / $14,482.00	Facility		$264.89	$534.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.38 / $272.11 / $884.83	Professional		$247.38	$272.11	$884.83
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 $262.02 / $688.36 / $1,793.44	Professional		$262.02	$688.36	$1,793.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $667.73 / $780.30 / $1,258.58	Facility		$667.73	$780.30	$1,258.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.99 / $812.48 / $1,068.03	Professional		$353.99	$812.48	$1,068.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $309.93 / $510.78	Facility		$261.33	$309.93	$510.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $5,080.00 / $8,783.00	Facility		$264.89	$5,080.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.86 / $714.56 / $1,794.95	Professional		$304.86	$714.56	$1,794.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $357.96 / $634.49	Professional		$85.00	$357.96	$634.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $309.93 / $510.78	Facility		$261.33	$309.93	$510.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $510.25 / $787.90 / $1,081.04	Professional		$510.25	$787.90	$1,081.04
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 $362.08 / $1,299.20 / $1,952.56	Professional		$362.08	$1,299.20	$1,952.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.51 / $1,343.51 / $1,343.51	Professional		$1,343.51	$1,343.51	$1,343.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.54 / $1,536.36 / $1,536.36	Professional		$1,263.54	$1,536.36	$1,536.36
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 $300.79 / $771.82 / $1,262.59	Professional		$300.79	$771.82	$1,262.59