Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $744.26 / $14,482.00	Facility		$455.84	$744.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $455.84 / $1,313.69	Professional		$266.20	$455.84	$1,313.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.45 / $880.39 / $2,202.26	Professional		$370.45	$880.39	$2,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.07 / $1,096.20 / $1,768.14	Facility		$938.07	$1,096.20	$1,768.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.47 / $1,121.43 / $1,504.92	Professional		$628.47	$1,121.43	$1,504.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.86 / $565.29 / $799.06	Facility		$363.86	$565.29	$799.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $6,564.00 / $12,216.00	Facility		$413.12	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.33 / $1,123.02 / $2,091.09	Professional		$440.33	$1,123.02	$2,091.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $393.07 / $814.41	Professional		$76.54	$393.07	$814.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $363.86 / $565.29 / $799.06	Facility		$363.86	$565.29	$799.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $735.15 / $1,135.18 / $1,507.70	Professional		$735.15	$1,135.18	$1,507.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,082.10 / $11,082.10 / $11,082.10	Facility		$11,082.10	$11,082.10	$11,082.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $643.73 / $1,775.34 / $3,251.51	Professional		$643.73	$1,775.34	$3,251.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.23 / $1,874.23 / $1,874.23	Professional		$1,874.23	$1,874.23	$1,874.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.96 / $2,512.92 / $2,512.92	Professional		$1,689.96	$2,512.92	$2,512.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.58 / $1,123.02 / $1,809.20	Professional		$425.58	$1,123.02	$1,809.20