Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.11 / $908.28 / $14,482.00	Facility		$537.11	$908.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $537.11 / $908.28	Professional		$205.23	$537.11	$908.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.79 / $1,091.58 / $2,582.73	Professional		$434.79	$1,091.58	$2,582.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $1,336.30 / $2,155.40	Facility		$1,143.52	$1,336.30	$2,155.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.49 / $1,356.53 / $1,823.95	Professional		$601.49	$1,356.53	$1,823.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $444.05 / $608.71 / $867.91	Facility		$444.05	$608.71	$867.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $4,103.00 / $8,783.00	Facility		$483.00	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.02 / $973.26 / $3,069.62	Professional		$362.02	$973.26	$3,069.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $446.51 / $1,005.44	Professional		$85.00	$446.51	$1,005.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $444.05 / $608.71 / $867.91	Facility		$444.05	$608.71	$867.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $873.60 / $1,348.97 / $1,754.32	Professional		$873.60	$1,348.97	$1,754.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.94 / $2,162.80 / $3,321.36	Professional		$616.94	$2,162.80	$3,321.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.22 / $1,075.22 / $1,075.22	Professional		$1,075.22	$1,075.22	$1,075.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $525.72 / $2,647.39 / $2,647.39	Professional		$525.72	$2,647.39	$2,647.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.71 / $1,310.04 / $2,506.30	Professional		$378.71	$1,310.04	$2,506.30