Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.41 / $776.97 / $1,894.00	Facility		$342.41	$776.97	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $367.53 / $1,111.33	Professional		$247.64	$367.53	$1,111.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.11 / $720.68 / $1,302.09	Professional		$372.11	$720.68	$1,302.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $994.84 / $1,162.55 / $1,875.14	Facility		$994.84	$1,162.55	$1,875.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.53 / $896.93 / $1,285.00	Professional		$479.53	$896.93	$1,285.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $451.33 / $704.93	Facility		$294.00	$451.33	$704.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $571.51 / $1,789.00	Facility		$294.00	$571.51	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $1,118.42 / $2,196.23	Professional		$447.42	$1,118.42	$2,196.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $540.44 / $1,027.54	Professional		$85.00	$540.44	$1,027.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $451.33 / $704.93	Facility		$294.00	$451.33	$704.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $684.90 / $943.40 / $1,269.55	Professional		$684.90	$943.40	$1,269.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,471.69 / $2,471.69 / $2,471.69	Facility		$2,471.69	$2,471.69	$2,471.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $1,424.80 / $2,876.32	Professional		$443.60	$1,424.80	$2,876.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $532.76 / $532.76 / $708.37	Professional		$532.76	$532.76	$708.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $696.72 / $897.61 / $1,191.93	Professional		$696.72	$897.61	$1,191.93
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $1,122.28 / $1,623.35	Professional		$447.42	$1,122.28	$1,623.35