Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.21 / $1,113.94 / $14,482.00	Facility		$332.21	$1,113.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $386.70 / $1,647.63	Professional		$277.64	$386.70	$1,647.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.74 / $852.47 / $1,691.84	Professional		$302.74	$852.47	$1,691.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.68 / $919.30 / $1,482.79	Facility		$786.68	$919.30	$1,482.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.36 / $948.71 / $1,257.46	Professional		$458.36	$948.71	$1,257.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $311.43 / $376.20 / $1,351.44	Facility		$311.43	$376.20	$1,351.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.21 / $3,744.44 / $12,622.22	Facility		$332.21	$3,744.44	$12,622.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.73 / $759.85 / $1,808.15	Professional		$364.73	$759.85	$1,808.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $513.52 / $783.93	Professional		$85.00	$513.52	$783.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $311.43 / $376.20 / $1,351.44	Facility		$311.43	$376.20	$1,351.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $607.75 / $938.46 / $1,105.45	Professional		$607.75	$938.46	$1,105.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $471.35 / $1,636.00 / $4,770.00	Professional		$471.35	$1,636.00	$4,770.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $757.73 / $757.73 / $757.73	Professional		$757.73	$757.73	$757.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $750.31 / $1,651.16 / $1,651.16	Professional		$750.31	$1,651.16	$1,651.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.50 / $919.76 / $1,332.02	Professional		$339.50	$919.76	$1,332.02