Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.39 / $685.60 / $1,894.00	Facility		$195.39	$685.60	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $287.13 / $790.95	Professional		$181.83	$287.13	$790.95
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 $299.85 / $723.96 / $1,649.60	Professional		$299.85	$723.96	$1,649.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.61 / $1,047.76 / $1,690.01	Facility		$896.61	$1,047.76	$1,690.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $697.39 / $1,186.64	Professional		$391.13	$697.39	$1,186.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.50 / $323.60 / $655.13	Facility		$136.50	$323.60	$655.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $431.62 / $5,801.00	Facility		$181.83	$431.62	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.37 / $846.15 / $1,819.10	Professional		$339.37	$846.15	$1,819.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.91 / $273.32 / $709.81	Professional		$37.91	$273.32	$709.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.61 / $323.17 / $655.13	Facility		$89.61	$323.17	$655.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.65 / $773.22 / $1,197.67	Professional		$489.65	$773.22	$1,197.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,477.14 / $1,477.14 / $1,477.14	Facility		$1,477.14	$1,477.14	$1,477.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $398.57 / $1,419.71 / $2,481.12	Professional		$398.57	$1,419.71	$2,481.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.12 / $891.12 / $1,493.26	Professional		$891.12	$891.12	$1,493.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $797.79 / $1,134.15 / $1,849.38	Professional		$797.79	$1,134.15	$1,849.38
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 $327.67 / $728.28 / $1,373.43	Professional		$327.67	$728.28	$1,373.43