Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $1,894.00 / $14,482.00	Facility		$123.92	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $197.24 / $339.58	Professional		$123.92	$197.24	$339.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $17,436.00	Facility		$6,293.00	$10,261.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $541.12 / $1,499.23	Professional		$191.15	$541.12	$1,499.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $598.34 / $699.21 / $1,127.80	Facility		$598.34	$699.21	$1,127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $871.60 / $990.45	Professional		$259.56	$871.60	$990.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $210.52 / $452.62	Facility		$123.92	$210.52	$452.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.71 / $7,590.00 / $15,702.00	Facility		$187.71	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $636.40 / $1,420.32	Professional		$211.85	$636.40	$1,420.32
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 $123.92 / $210.52 / $452.62	Facility		$123.92	$210.52	$452.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.10 / $521.40 / $750.63	Professional		$284.10	$521.40	$750.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,528.29 / $8,528.29 / $8,528.29	Facility		$8,528.29	$8,528.29	$8,528.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $904.32 / $1,501.76 / $1,501.76	Professional		$904.32	$1,501.76	$1,501.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.34 / $773.34 / $773.34	Professional		$773.34	$773.34	$773.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.78 / $1,326.78 / $1,326.78	Professional		$1,326.78	$1,326.78	$1,326.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $636.40 / $1,044.56	Professional		$194.25	$636.40	$1,044.56