Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.63 / $674.12 / $14,482.00	Facility		$273.63	$674.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $298.66 / $780.41	Professional		$170.55	$298.66	$780.41
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 $218.82 / $415.65 / $850.69	Professional		$218.82	$415.65	$850.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $402.66 / $623.47 / $1,315.92	Professional	50	$402.66	$623.47	$1,315.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.32 / $1,050.92 / $1,695.10	Facility		$899.32	$1,050.92	$1,695.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.11 / $581.61 / $1,208.01	Professional		$255.11	$581.61	$1,208.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.84 / $320.14 / $606.70	Facility		$175.84	$320.14	$606.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.73 / $465.45 / $8,384.00	Facility		$201.73	$465.45	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.66 / $706.68 / $2,466.08	Professional		$331.66	$706.68	$2,466.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $212.86 / $580.74	Professional		$26.31	$212.86	$580.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.84 / $318.33 / $608.12	Facility		$175.84	$318.33	$608.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $353.60 / $611.55 / $1,050.43	Professional		$353.60	$611.55	$1,050.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,282.92 / $1,282.92 / $1,282.92	Facility		$1,282.92	$1,282.92	$1,282.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $332.21 / $1,363.60 / $2,466.08	Professional		$332.21	$1,363.60	$2,466.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $772.77 / $1,776.53 / $3,247.12	Professional		$772.77	$1,776.53	$3,247.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.66 / $607.53 / $1,380.97	Professional		$331.66	$607.53	$1,380.97