Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.85 / $775.60 / $14,482.00	Facility		$312.85	$775.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.85 / $414.56 / $1,373.66	Professional		$312.85	$414.56	$1,373.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.49 / $994.15 / $2,218.69	Professional		$489.49	$994.15	$2,218.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,312.03 / $1,533.21 / $2,351.98	Facility		$1,312.03	$1,533.21	$2,351.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.22 / $752.54 / $1,440.83	Professional		$376.22	$752.54	$1,440.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.53 / $575.95 / $1,323.99	Facility		$363.53	$575.95	$1,323.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.07 / $847.72 / $3,995.00	Facility		$369.07	$847.72	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.94 / $1,059.27 / $2,773.92	Professional		$548.94	$1,059.27	$2,773.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $265.24 / $843.11	Professional		$31.53	$265.24	$843.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $363.53 / $575.95 / $1,323.99	Facility		$363.53	$575.95	$1,323.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $809.36 / $1,155.58 / $1,646.95	Professional		$809.36	$1,155.58	$1,646.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $727.34 / $972.08 / $1,747.40	Facility		$727.34	$972.08	$1,747.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $1,919.85 / $3,633.20	Professional		$461.96	$1,919.85	$3,633.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $682.57 / $682.57 / $910.60	Professional		$682.57	$682.57	$910.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $810.13 / $1,600.87 / $2,108.42	Professional		$810.13	$1,600.87	$2,108.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.23 / $914.42 / $2,176.21	Professional		$507.23	$914.42	$2,176.21