Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.45 / $598.91 / $3,119.00	Facility		$220.45	$598.91	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $315.24 / $901.87	Professional		$217.21	$315.24	$901.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $705.12 / $1,679.10	Professional		$293.14	$705.12	$1,679.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.85 / $896.13 / $1,445.42	Facility		$766.85	$896.13	$1,445.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.19 / $726.96 / $1,191.83	Professional		$335.19	$726.96	$1,191.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $319.89 / $540.08	Facility		$204.94	$319.89	$540.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $421.81 / $1,789.00	Facility		$210.00	$421.81	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $1,033.70 / $1,995.81	Professional		$348.30	$1,033.70	$1,995.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.91 / $251.57 / $644.44	Professional		$37.91	$251.57	$644.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $319.89 / $540.08	Facility		$204.94	$319.89	$540.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.96 / $682.31 / $1,036.30	Professional		$462.96	$682.31	$1,036.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,398.60 / $1,398.60 / $1,398.60	Facility		$1,398.60	$1,398.60	$1,398.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.82 / $1,219.28 / $2,126.96	Professional		$279.82	$1,219.28	$2,126.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $726.27 / $726.27 / $1,061.81	Professional		$726.27	$726.27	$1,061.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $834.77 / $1,008.68 / $1,455.20	Professional		$834.77	$1,008.68	$1,455.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $1,033.70 / $1,570.48	Professional		$342.47	$1,033.70	$1,570.48