Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.16 / $457.25 / $3,119.00	Facility		$206.16	$457.25	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $433.00 / $1,344.65	Professional		$206.16	$433.00	$1,344.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $547.90 / $1,291.75	Professional		$288.57	$547.90	$1,291.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.02 / $1,426.86 / $2,188.83	Facility		$1,221.02	$1,426.86	$2,188.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.04 / $866.32 / $2,021.96	Professional		$406.04	$866.32	$2,021.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $206.16 / $433.00 / $779.40	Facility		$206.16	$433.00	$779.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.36 / $499.80 / $2,951.70	Facility		$218.36	$499.80	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.21 / $1,181.22 / $3,364.72	Professional		$513.21	$1,181.22	$3,364.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $335.01 / $898.56	Professional		$31.53	$335.01	$898.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $215.42 / $433.00 / $779.40	Facility		$215.42	$433.00	$779.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $507.20 / $915.90 / $1,522.17	Professional		$507.20	$915.90	$1,522.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $1,534.74	Facility		$982.04	$982.04	$1,534.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $513.72 / $1,933.97 / $3,364.72	Professional		$513.72	$1,933.97	$3,364.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $788.29 / $788.29 / $1,698.39	Professional		$788.29	$788.29	$1,698.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.09 / $1,554.39 / $2,664.34	Professional		$1,079.09	$1,554.39	$2,664.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $1,048.89 / $2,363.79	Professional		$519.00	$1,048.89	$2,363.79