Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.72 / $795.76 / $3,119.00	Facility		$198.72	$795.76	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $328.51 / $686.80	Professional		$198.72	$328.51	$686.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.47 / $697.00 / $1,481.46	Professional		$332.47	$697.00	$1,481.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.68 / $1,206.77 / $1,851.22	Facility		$1,032.68	$1,206.77	$1,851.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $606.29 / $999.03	Professional		$264.72	$606.29	$999.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $235.44 / $436.18 / $1,055.33	Facility		$235.44	$436.18	$1,055.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.72 / $648.41 / $1,642.00	Facility		$258.72	$648.41	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $731.34 / $1,777.04	Professional		$353.67	$731.34	$1,777.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $318.71 / $821.61	Professional		$29.50	$318.71	$821.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $235.44 / $436.18 / $1,055.33	Facility		$235.44	$436.18	$1,055.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $820.67 / $1,263.54	Professional		$534.79	$820.67	$1,263.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $460.17 / $615.01 / $1,687.98	Facility		$460.17	$615.01	$1,687.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $405.66 / $1,150.50 / $2,874.56	Professional		$405.66	$1,150.50	$2,874.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $435.14 / $1,013.02 / $1,661.27	Professional		$435.14	$1,013.02	$1,661.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $349.77 / $596.66 / $1,536.25	Professional		$349.77	$596.66	$1,536.25