Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.62 / $409.62 / $17,823.00	Facility		$409.62	$409.62	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.18 / $409.62 / $455.36	Professional		$354.18	$409.62	$455.36
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 $323.27 / $779.75 / $2,081.41	Professional		$323.27	$779.75	$2,081.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.84 / $885.60 / $1,428.44	Facility		$757.84	$885.60	$1,428.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.58 / $924.22 / $1,225.80	Professional		$561.58	$924.22	$1,225.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $409.62 / $600.34	Facility		$307.14	$409.62	$600.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.41 / $2,803.00 / $7,868.00	Facility		$357.41	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.29 / $816.31 / $1,504.94	Professional		$323.29	$816.31	$1,504.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $1,310.18	Professional		$55.00	$85.00	$1,310.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $409.62 / $600.34	Facility		$307.14	$409.62	$600.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $429.37 / $791.21 / $1,134.46	Professional		$429.37	$791.21	$1,134.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,781.90 / $2,781.90 / $2,781.90	Facility		$2,781.90	$2,781.90	$2,781.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $573.87 / $3,705.34 / $4,887.00	Professional		$573.87	$3,705.34	$4,887.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.95 / $1,514.95 / $1,514.95	Professional		$1,514.95	$1,514.95	$1,514.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.22 / $2,105.39 / $2,105.39	Professional		$1,837.22	$2,105.39	$2,105.39
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 $323.29 / $959.48 / $1,289.63	Professional		$323.29	$959.48	$1,289.63