Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.11 / $971.10 / $14,482.00	Facility		$603.11	$971.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.85 / $603.11 / $971.10	Professional		$358.85	$603.11	$971.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $1,176.68 / $2,920.88	Professional		$482.14	$1,176.68	$2,920.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.59 / $1,410.01 / $2,274.29	Facility		$1,206.59	$1,410.01	$2,274.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.20 / $1,462.78 / $1,937.98	Professional		$863.20	$1,462.78	$1,937.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $474.76 / $675.00 / $936.48	Facility		$474.76	$675.00	$936.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $546.72 / $2,803.00 / $7,868.00	Facility		$546.72	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.88 / $1,670.00 / $2,699.48	Professional		$578.88	$1,670.00	$2,699.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $656.61 / $1,241.00	Professional		$85.00	$656.61	$1,241.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $474.76 / $675.00 / $936.48	Facility		$474.76	$675.00	$936.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $973.05 / $1,502.54 / $1,966.63	Professional		$973.05	$1,502.54	$1,966.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,163.20 / $9,163.20 / $9,163.20	Facility		$9,163.20	$9,163.20	$9,163.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $839.68 / $2,392.55 / $3,603.36	Professional		$839.68	$2,392.55	$3,603.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,485.78 / $2,485.78 / $2,485.78	Professional		$2,485.78	$2,485.78	$2,485.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,277.86 / $3,277.86 / $3,277.86	Professional		$3,277.86	$3,277.86	$3,277.86
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 $578.88 / $1,699.64 / $2,357.21	Professional		$578.88	$1,699.64	$2,357.21