Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.13 / $524.75 / $14,482.00	Facility		$380.13	$524.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.30 / $443.72 / $1,428.15	Professional		$269.30	$443.72	$1,428.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.35 / $490.80 / $1,464.27	Professional		$287.35	$490.80	$1,464.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.58 / $920.35 / $1,484.49	Facility		$787.58	$920.35	$1,484.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.81 / $615.25 / $1,440.84	Professional		$306.81	$615.25	$1,440.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $433.09 / $693.52	Facility		$279.86	$433.09	$693.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $568.48 / $11,598.00	Facility		$279.86	$568.48	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.65 / $860.33 / $3,527.39	Professional		$335.65	$860.33	$3,527.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $251.38 / $628.45	Professional		$143.80	$251.38	$628.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $442.70 / $950.33	Facility		$279.86	$442.70	$950.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $691.78 / $995.92	Professional		$491.40	$691.78	$995.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,077.67 / $2,077.67 / $2,077.67	Facility		$2,077.67	$2,077.67	$2,077.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $479.79 / $1,258.74 / $3,527.39	Professional		$479.79	$1,258.74	$3,527.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.05 / $1,185.05 / $1,385.94	Professional		$1,185.05	$1,185.05	$1,385.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.78 / $2,466.46 / $2,875.87	Professional		$1,306.78	$2,466.46	$2,875.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.69 / $658.66 / $1,473.70	Professional		$330.69	$658.66	$1,473.70