Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.04 / $513.45 / $14,482.00	Facility		$274.04	$513.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $274.04 / $829.66	Professional		$221.68	$274.04	$829.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.30 / $660.24 / $1,373.24	Professional		$238.30	$660.24	$1,373.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.02 / $766.61 / $1,236.51	Facility		$656.02	$766.61	$1,236.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.53 / $746.75 / $1,037.96	Professional		$376.53	$746.75	$1,037.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.02 / $308.07 / $926.30	Facility		$251.02	$308.07	$926.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $4,103.00 / $8,384.00	Facility		$273.83	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $602.98 / $1,201.22	Professional		$285.62	$602.98	$1,201.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $325.92 / $608.72	Professional		$117.33	$325.92	$608.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $252.74 / $308.07 / $926.30	Facility		$252.74	$308.07	$926.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $495.30 / $749.05 / $900.91	Professional		$495.30	$749.05	$900.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $1,316.77 / $2,806.88	Professional		$389.42	$1,316.77	$2,806.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $626.61 / $626.61 / $626.61	Professional		$626.61	$626.61	$626.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.37 / $1,364.17 / $1,364.17	Professional		$616.37	$1,364.17	$1,364.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $716.36 / $1,057.02	Professional		$261.29	$716.36	$1,057.02