Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.22 / $405.22 / $17,823.00	Facility		$405.22	$405.22	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.64 / $405.22 / $1,639.72	Professional		$403.64	$405.22	$1,639.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.57 / $839.76 / $1,969.31	Professional		$334.57	$839.76	$1,969.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.18 / $1,105.68 / $1,783.43	Facility		$946.18	$1,105.68	$1,783.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.38 / $1,132.96 / $1,287.45	Professional		$620.38	$1,132.96	$1,287.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.39 / $467.11 / $743.49	Facility		$380.39	$467.11	$743.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.22 / $2,553.00 / $7,700.00	Facility		$405.22	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $930.46 / $1,930.36	Professional		$369.74	$930.46	$1,930.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $988.56	Professional		$55.00	$85.00	$988.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $380.39 / $467.11 / $743.49	Facility		$380.39	$467.11	$743.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $474.50 / $870.84 / $1,253.70	Professional		$474.50	$870.84	$1,253.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,219.30 / $3,219.30 / $3,219.30	Facility		$3,219.30	$3,219.30	$3,219.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $6,244.50 / $7,231.97	Professional		$634.37	$6,244.50	$7,231.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $882.49 / $882.49 / $882.49	Professional		$882.49	$882.49	$882.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,247.77 / $2,247.77 / $2,247.77	Professional		$2,247.77	$2,247.77	$2,247.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.84 / $1,176.18 / $1,491.42	Professional		$381.84	$1,176.18	$1,491.42