Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.24 / $689.83 / $14,482.00	Facility		$246.24	$689.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.89 / $320.76 / $645.01	Professional		$214.89	$320.76	$645.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $644.09 / $1,803.51	Professional		$289.83	$644.09	$1,803.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $1,033.02 / $1,584.68	Facility		$884.00	$1,033.02	$1,584.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $701.63 / $1,349.00	Professional		$311.52	$701.63	$1,349.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.96 / $341.89 / $555.17	Facility		$216.96	$341.89	$555.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.91 / $367.91 / $3,036.00	Facility		$217.91	$367.91	$3,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.06 / $1,173.83 / $2,453.76	Professional		$356.06	$1,173.83	$2,453.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $251.57 / $664.51	Professional		$32.22	$251.57	$664.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $216.96 / $342.09 / $555.17	Facility		$216.96	$342.09	$555.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $485.77 / $759.48 / $1,144.58	Professional		$485.77	$759.48	$1,144.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $1,567.44 / $3,728.65	Facility		$378.98	$1,567.44	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.36 / $1,406.43 / $2,453.76	Professional		$354.36	$1,406.43	$2,453.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $807.81 / $807.81 / $1,226.04	Professional		$807.81	$807.81	$1,226.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $926.16 / $1,153.61 / $1,678.62	Professional		$926.16	$1,153.61	$1,678.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.33 / $721.82 / $1,487.32	Professional		$347.33	$721.82	$1,487.32