Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.38 / $634.12 / $14,482.00	Facility		$386.38	$634.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.01 / $386.38 / $1,038.49	Professional		$206.01	$386.38	$1,038.49
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 $291.33 / $731.64 / $1,853.73	Professional		$291.33	$731.64	$1,853.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $937.20 / $1,511.67	Facility		$802.00	$937.20	$1,511.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.48 / $951.57 / $1,291.99	Professional		$535.48	$951.57	$1,291.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $310.01 / $476.36 / $624.75	Facility		$310.01	$476.36	$624.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.34 / $6,564.00 / $12,216.00	Facility		$350.34	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.17 / $884.18 / $1,720.57	Professional		$350.17	$884.18	$1,720.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $396.98 / $688.65	Professional		$156.75	$396.98	$688.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $310.01 / $476.36 / $624.75	Facility		$310.01	$476.36	$624.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $963.55 / $1,278.36	Professional		$624.00	$963.55	$1,278.36
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 $546.24 / $1,459.05 / $2,303.19	Professional		$546.24	$1,459.05	$2,303.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,577.62 / $1,577.62 / $1,577.62	Professional		$1,577.62	$1,577.62	$1,577.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.23 / $2,132.31 / $2,132.31	Professional		$1,321.23	$2,132.31	$2,132.31
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 $347.58 / $884.77 / $1,407.34	Professional		$347.58	$884.77	$1,407.34