Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $692.17 / $14,482.00	Facility		$368.93	$692.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.02 / $368.93 / $1,189.00	Professional		$298.02	$368.93	$1,189.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.64 / $834.37 / $1,788.55	Professional		$312.64	$834.37	$1,788.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.50 / $1,038.29 / $1,674.72	Facility		$888.50	$1,038.29	$1,674.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.59 / $1,006.39 / $1,404.47	Professional		$507.59	$1,006.39	$1,404.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.39 / $413.03 / $682.50	Facility		$338.39	$413.03	$682.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $4,103.00 / $8,384.00	Facility		$368.93	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.56 / $790.60 / $1,617.14	Professional		$362.56	$790.60	$1,617.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $283.16 / $743.11	Professional		$63.30	$283.16	$743.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $338.39 / $413.03 / $682.50	Facility		$338.39	$413.03	$682.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $666.25 / $960.41 / $1,211.85	Professional		$666.25	$960.41	$1,211.85
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 $524.80 / $1,581.20 / $3,629.13	Professional		$524.80	$1,581.20	$3,629.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $841.62 / $841.62 / $841.62	Professional		$841.62	$841.62	$841.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $840.38 / $1,838.42 / $1,838.42	Professional		$840.38	$1,838.42	$1,838.42
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 $341.77 / $858.25 / $1,385.92	Professional		$341.77	$858.25	$1,385.92