Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.24 / $467.09 / $14,482.00	Facility		$299.24	$467.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $346.18 / $1,041.42	Professional		$213.94	$346.18	$1,041.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $403.92 / $995.32	Professional		$232.40	$403.92	$995.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.34 / $976.16 / $1,574.51	Facility		$835.34	$976.16	$1,574.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.11 / $642.23 / $1,326.55	Professional		$268.11	$642.23	$1,326.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $222.01 / $335.30 / $559.73	Facility		$222.01	$335.30	$559.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.01 / $433.10 / $8,384.00	Facility		$222.01	$433.10	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.76 / $657.92 / $3,233.58	Professional		$326.76	$657.92	$3,233.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $186.55 / $515.75	Professional		$28.95	$186.55	$515.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $222.01 / $335.30 / $560.51	Facility		$222.01	$335.30	$560.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.35 / $659.29 / $1,026.58	Professional		$389.35	$659.29	$1,026.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,410.24 / $1,410.24 / $1,410.24	Facility		$1,410.24	$1,410.24	$1,410.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.23 / $1,316.93 / $3,233.58	Professional		$359.23	$1,316.93	$3,233.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $926.98 / $926.98 / $1,470.19	Professional		$926.98	$926.98	$1,470.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.04 / $1,954.21 / $3,008.82	Professional		$1,025.04	$1,954.21	$3,008.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.47 / $589.91 / $1,267.29	Professional		$306.47	$589.91	$1,267.29