Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.12 / $685.28 / $14,482.00	Facility		$407.12	$685.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.30 / $407.12 / $1,204.05	Professional		$260.30	$407.12	$1,204.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,721.00 / $10,517.23	Facility		$1,979.00	$6,721.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.83 / $902.86 / $2,030.93	Professional		$338.83	$902.86	$2,030.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.77 / $1,003.54 / $1,618.67	Facility		$858.77	$1,003.54	$1,618.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.69 / $1,026.51 / $1,364.38	Professional		$578.69	$1,026.51	$1,364.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $335.03 / $474.36 / $654.83	Facility		$335.03	$474.36	$654.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.04 / $2,586.00 / $6,312.00	Facility		$366.04	$2,586.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.87 / $1,119.20 / $2,401.92	Professional		$404.87	$1,119.20	$2,401.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $470.53 / $786.51	Professional		$85.00	$470.53	$786.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $335.03 / $474.36 / $654.83	Facility		$335.03	$474.36	$654.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $642.85 / $992.66 / $1,376.86	Professional		$642.85	$992.66	$1,376.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,718.66 / $2,718.66 / $2,718.66	Facility		$2,718.66	$2,718.66	$2,718.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $595.32 / $1,692.35 / $2,511.36	Professional		$595.32	$1,692.35	$2,511.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $833.24 / $833.24 / $833.24	Professional		$833.24	$833.24	$833.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.71 / $2,003.37 / $2,003.37	Professional		$773.71	$2,003.37	$2,003.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.62 / $1,000.92 / $1,512.96	Professional		$358.62	$1,000.92	$1,512.96