Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.23 / $544.73 / $14,482.00	Facility		$285.23	$544.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $285.23 / $888.78	Professional		$269.70	$285.23	$888.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $694.45 / $1,503.53	Professional		$261.02	$694.45	$1,503.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $800.30 / $1,290.85	Facility		$684.85	$800.30	$1,290.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $826.63 / $1,096.66	Professional		$360.73	$826.63	$1,096.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $266.31 / $365.44 / $737.90	Facility		$266.31	$365.44	$737.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.23 / $2,781.00 / $6,312.00	Facility		$285.23	$2,781.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $636.04 / $1,404.58	Professional		$308.76	$636.04	$1,404.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $349.43 / $663.45	Professional		$145.59	$349.43	$663.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $285.23 / $379.64 / $737.90	Facility		$285.23	$379.64	$737.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $518.70 / $800.95 / $943.48	Professional		$518.70	$800.95	$943.48
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 $368.37 / $1,295.90 / $3,135.00	Professional		$368.37	$1,295.90	$3,135.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $722.89 / $722.89 / $722.89	Professional		$722.89	$722.89	$722.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $762.13 / $1,279.76 / $1,279.76	Professional		$762.13	$1,279.76	$1,279.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.81 / $757.96 / $1,231.95	Professional		$276.81	$757.96	$1,231.95