Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.64 / $534.05 / $14,482.00	Facility		$241.64	$534.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $250.84 / $1,008.78	Professional		$241.64	$250.84	$1,008.78
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 $262.50 / $591.76 / $1,498.70	Professional		$262.50	$591.76	$1,498.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.83 / $779.24 / $1,195.38	Facility		$666.83	$779.24	$1,195.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.94 / $1,000.68 / $1,137.14	Professional		$394.94	$1,000.68	$1,137.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.64 / $362.46 / $966.56	Facility		$241.64	$362.46	$966.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.71 / $520.04 / $5,261.00	Facility		$250.71	$520.04	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $802.94 / $4,043.34	Professional		$314.33	$802.94	$4,043.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.95 / $247.90 / $554.75	Professional		$137.95	$247.90	$554.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.64 / $362.46 / $966.56	Facility		$241.64	$362.46	$966.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.75 / $613.79 / $916.28	Professional		$503.75	$613.79	$916.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $502.74 / $2,280.67 / $4,043.34	Professional		$502.74	$2,280.67	$4,043.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $914.58 / $914.58 / $914.58	Professional		$914.58	$914.58	$914.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $964.55 / $1,498.46 / $2,254.81	Professional		$964.55	$1,498.46	$2,254.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.89 / $573.66 / $1,448.56	Professional		$289.89	$573.66	$1,448.56