Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.16 / $219.16 / $14,482.00	Facility		$219.16	$219.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $242.44 / $988.59	Professional		$219.16	$242.44	$988.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.23 / $804.71 / $2,229.48	Professional		$356.23	$804.71	$2,229.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.03 / $968.79 / $1,486.15	Facility		$829.03	$968.79	$1,486.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.13 / $1,211.46 / $1,376.66	Professional		$349.13	$1,211.46	$1,376.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.16 / $331.97 / $697.01	Facility		$219.16	$331.97	$697.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.42 / $438.92 / $1,789.00	Facility		$256.42	$438.92	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.88 / $588.73 / $2,822.88	Professional		$357.88	$588.73	$2,822.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.16 / $335.31 / $697.01	Facility		$219.16	$335.31	$697.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $894.71 / $1,276.00	Professional		$696.00	$894.71	$1,276.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,287.26 / $6,287.26 / $6,287.26	Facility		$6,287.26	$6,287.26	$6,287.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,587.56 / $1,587.56 / $2,822.88	Professional		$1,587.56	$1,587.56	$2,822.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.82 / $1,003.82 / $1,003.82	Professional		$1,003.82	$1,003.82	$1,003.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.54 / $2,023.69 / $2,023.69	Professional		$1,215.54	$2,023.69	$2,023.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $366.13 / $600.35 / $1,326.84	Professional		$366.13	$600.35	$1,326.84